National Provider Identifier [NPI]: |
1710906359 |
Last Name Of The Provider |
BLOCK |
First Name Of The Provider |
LAWRENCE |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
480 LYNNFIELD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LYNN |
Zip Code Of The Provider |
019041419 |
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 |
55 |
Number Of Services |
6028 |
Number Of Medicare Beneficiaries |
2226 |
Total Submitted Charge Amount |
1102689.32 |
Total Medicare Allowed Amount |
330167.96 |
Total Medicare Payment Amount |
251340.72 |
Total Medicare Standardized Payment Amount |
243758.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
79 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
7004 |
Total Drug Medicare AllowedAmount |
3217.09 |
Total Drug Medicare PaymentAmount |
2522.23 |
Total Drug Medicare Standardized Payment Amount |
2522.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
5949 |
Number Of Medicare Beneficiaries With Medical Services |
2226 |
Total Medical Submitted Charge Amount |
1095685.32 |
Total Medical Medicare Allowed Amount |
326950.87 |
Total Medical Medicare Payment Amount |
248818.49 |
Total Medical Medicare Standardized Payment Amount |
241236.16 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
342 |
Number Of Beneficiaries Age 65 to 74 |
594 |
Number Of Beneficiaries Age 75 to 84 |
672 |
Number Of Beneficiaries Age Greater 84 |
618 |
Number Of Female Beneficiaries |
1193 |
Number Of Male Beneficiaries |
1033 |
Number Of Non Hispanic White Beneficiaries |
1987 |
Number Of Black or African American Beneficiaries |
79 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
118 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1497 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
729 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9195 |