National Provider Identifier [NPI]: |
1770543696 |
Last Name Of The Provider |
SHEFTEL |
First Name Of The Provider |
GIULIA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 WASHINGTON ST |
Street Address 2 Of The Provider |
SUITE 562 |
City Of The Provider |
NEWTON |
Zip Code Of The Provider |
024621650 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
4291 |
Number Of Medicare Beneficiaries |
2214 |
Total Submitted Charge Amount |
639604 |
Total Medicare Allowed Amount |
170831.43 |
Total Medicare Payment Amount |
130236.4 |
Total Medicare Standardized Payment Amount |
123126.19 |
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 |
28 |
Number Of Medical Services |
4291 |
Number Of Medicare Beneficiaries With Medical Services |
2214 |
Total Medical Submitted Charge Amount |
639604 |
Total Medical Medicare Allowed Amount |
170831.43 |
Total Medical Medicare Payment Amount |
130236.4 |
Total Medical Medicare Standardized Payment Amount |
123126.19 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
169 |
Number Of Beneficiaries Age 65 to 74 |
666 |
Number Of Beneficiaries Age 75 to 84 |
728 |
Number Of Beneficiaries Age Greater 84 |
651 |
Number Of Female Beneficiaries |
1233 |
Number Of Male Beneficiaries |
981 |
Number Of Non Hispanic White Beneficiaries |
2089 |
Number Of Black or African American Beneficiaries |
27 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
1884 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
330 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5173 |