National Provider Identifier [NPI]: |
1245297142 |
Last Name Of The Provider |
DESANTIS |
First Name Of The Provider |
FRANCO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
444 MONTGOMERY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHICOPEE |
Zip Code Of The Provider |
010201969 |
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 |
101 |
Number Of Services |
6507 |
Number Of Medicare Beneficiaries |
874 |
Total Submitted Charge Amount |
470541 |
Total Medicare Allowed Amount |
242319.98 |
Total Medicare Payment Amount |
177631.22 |
Total Medicare Standardized Payment Amount |
175011.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
464 |
Number Of Medicare Beneficiaries With Drug Services |
259 |
Total Drug Submitted ChargeAmount |
16075 |
Total Drug Medicare AllowedAmount |
9661.15 |
Total Drug Medicare PaymentAmount |
9340.24 |
Total Drug Medicare Standardized Payment Amount |
9340.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
6043 |
Number Of Medicare Beneficiaries With Medical Services |
856 |
Total Medical Submitted Charge Amount |
454466 |
Total Medical Medicare Allowed Amount |
232658.83 |
Total Medical Medicare Payment Amount |
168290.98 |
Total Medical Medicare Standardized Payment Amount |
165670.99 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
292 |
Number Of Beneficiaries Age 65 to 74 |
297 |
Number Of Beneficiaries Age 75 to 84 |
198 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
417 |
Number Of Male Beneficiaries |
457 |
Number Of Non Hispanic White Beneficiaries |
674 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
147 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
504 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
370 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1892 |