National Provider Identifier [NPI]: |
1649239500 |
Last Name Of The Provider |
CORVI |
First Name Of The Provider |
FRANCESCO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
295 VARNUM AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOWELL |
Zip Code Of The Provider |
018542134 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
1498 |
Number Of Medicare Beneficiaries |
1305 |
Total Submitted Charge Amount |
1057445 |
Total Medicare Allowed Amount |
231839.53 |
Total Medicare Payment Amount |
178069.41 |
Total Medicare Standardized Payment Amount |
175092.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
1498 |
Number Of Medicare Beneficiaries With Medical Services |
1305 |
Total Medical Submitted Charge Amount |
1057445 |
Total Medical Medicare Allowed Amount |
231839.53 |
Total Medical Medicare Payment Amount |
178069.41 |
Total Medical Medicare Standardized Payment Amount |
175092.64 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
478 |
Number Of Beneficiaries Age 65 to 74 |
315 |
Number Of Beneficiaries Age 75 to 84 |
283 |
Number Of Beneficiaries Age Greater 84 |
229 |
Number Of Female Beneficiaries |
761 |
Number Of Male Beneficiaries |
544 |
Number Of Non Hispanic White Beneficiaries |
1024 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
62 |
Number Of Hispanic Beneficiaries |
175 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
585 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
720 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
50 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.905 |