National Provider Identifier [NPI]: |
1447358874 |
Last Name Of The Provider |
MCAULIFFE |
First Name Of The Provider |
LAWRENCE |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
25 MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HYANNIS |
Zip Code Of The Provider |
026013129 |
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 |
41 |
Number Of Services |
10962 |
Number Of Medicare Beneficiaries |
2531 |
Total Submitted Charge Amount |
2352484.72 |
Total Medicare Allowed Amount |
879638.2 |
Total Medicare Payment Amount |
649287.45 |
Total Medicare Standardized Payment Amount |
627911.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
284 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
16237.28 |
Total Drug Medicare AllowedAmount |
15058.07 |
Total Drug Medicare PaymentAmount |
11805.44 |
Total Drug Medicare Standardized Payment Amount |
11805.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
10678 |
Number Of Medicare Beneficiaries With Medical Services |
2531 |
Total Medical Submitted Charge Amount |
2336247.44 |
Total Medical Medicare Allowed Amount |
864580.13 |
Total Medical Medicare Payment Amount |
637482.01 |
Total Medical Medicare Standardized Payment Amount |
616106.55 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
746 |
Number Of Beneficiaries Age 75 to 84 |
996 |
Number Of Beneficiaries Age Greater 84 |
702 |
Number Of Female Beneficiaries |
1130 |
Number Of Male Beneficiaries |
1401 |
Number Of Non Hispanic White Beneficiaries |
2457 |
Number Of Black or African American Beneficiaries |
18 |
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 |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
2327 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
204 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3927 |