Medicare Facts for Dr. Gary Setnik, MD


National Provider Identifier [NPI]: 1386638278
Last Name Of The Provider SETNIK
First Name Of The Provider GARY
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 330 MOUNT AUBURN ST
Street Address 2 Of The Provider
City Of The Provider CAMBRIDGE
Zip Code Of The Provider 021385502
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider Emergency Medicine
Medicare Participation Indicator Y
Number Of HCPCS 27
Number Of Services 416
Number Of Medicare Beneficiaries 371
Total Submitted Charge Amount 111845
Total Medicare Allowed Amount 60881.11
Total Medicare Payment Amount 47089.21
Total Medicare Standardized Payment Amount 46127.01
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 27
Number Of Medical Services 416
Number Of Medicare Beneficiaries With Medical Services 371
Total Medical Submitted Charge Amount 111845
Total Medical Medicare Allowed Amount 60881.11
Total Medical Medicare Payment Amount 47089.21
Total Medical Medicare Standardized Payment Amount 46127.01
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 61
Number Of Beneficiaries Age 65 to 74 102
Number Of Beneficiaries Age 75 to 84 110
Number Of Beneficiaries Age Greater 84 98
Number Of Female Beneficiaries 200
Number Of Male Beneficiaries 171
Number Of Non Hispanic White Beneficiaries 331
Number Of Black or African American Beneficiaries 20
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 260
Number Of Beneficiaries With Medicare Medicaid Entitlement 111
Percent Of With Atrial Fibrillation 26
Percent Of With Alzheimers Disease or Dementia 23
Percent Of With Asthma 13
Percent Of With Cancer 18
Percent Of With Heart Failure 30
Percent Of With Chronic Kidney Disease 32
Percent Of With Chronic Obstructive Pulmonary Disease 22
Percent Of With Depression 40
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 64
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 42
Percent Of With Osteoporosis 14
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders 15
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 1.5336

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