National Provider Identifier [NPI]: |
1255331336 |
Last Name Of The Provider |
PALMER |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
329 CONWAY ST |
Street Address 2 Of The Provider |
GREENFIELD HEALTH CENTER |
City Of The Provider |
GREENFIELD |
Zip Code Of The Provider |
013011526 |
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 |
211 |
Number Of Services |
9215 |
Number Of Medicare Beneficiaries |
1199 |
Total Submitted Charge Amount |
874734 |
Total Medicare Allowed Amount |
350758.78 |
Total Medicare Payment Amount |
276262.15 |
Total Medicare Standardized Payment Amount |
276996.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
647 |
Number Of Medicare Beneficiaries With Drug Services |
307 |
Total Drug Submitted ChargeAmount |
14569 |
Total Drug Medicare AllowedAmount |
9560.13 |
Total Drug Medicare PaymentAmount |
9135.32 |
Total Drug Medicare Standardized Payment Amount |
9135.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
191 |
Number Of Medical Services |
8568 |
Number Of Medicare Beneficiaries With Medical Services |
1198 |
Total Medical Submitted Charge Amount |
860165 |
Total Medical Medicare Allowed Amount |
341198.65 |
Total Medical Medicare Payment Amount |
267126.83 |
Total Medical Medicare Standardized Payment Amount |
267861.38 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
371 |
Number Of Beneficiaries Age 65 to 74 |
483 |
Number Of Beneficiaries Age 75 to 84 |
216 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
704 |
Number Of Male Beneficiaries |
495 |
Number Of Non Hispanic White Beneficiaries |
1132 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
730 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
469 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1233 |