National Provider Identifier [NPI]: |
1700934189 |
Last Name Of The Provider |
BARRY |
First Name Of The Provider |
G |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
489 BEARSES WAY UNIT A4 |
Street Address 2 Of The Provider |
|
City Of The Provider |
HYANNIS |
Zip Code Of The Provider |
02601 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
1988 |
Number Of Medicare Beneficiaries |
919 |
Total Submitted Charge Amount |
207415 |
Total Medicare Allowed Amount |
129234.35 |
Total Medicare Payment Amount |
87956.02 |
Total Medicare Standardized Payment Amount |
87859.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
55 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
1583 |
Total Drug Medicare AllowedAmount |
862.45 |
Total Drug Medicare PaymentAmount |
683.88 |
Total Drug Medicare Standardized Payment Amount |
683.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
1933 |
Number Of Medicare Beneficiaries With Medical Services |
919 |
Total Medical Submitted Charge Amount |
205832 |
Total Medical Medicare Allowed Amount |
128371.9 |
Total Medical Medicare Payment Amount |
87272.14 |
Total Medical Medicare Standardized Payment Amount |
87176.07 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
407 |
Number Of Beneficiaries Age 75 to 84 |
298 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
526 |
Number Of Male Beneficiaries |
393 |
Number Of Non Hispanic White Beneficiaries |
884 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
836 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8547 |