National Provider Identifier [NPI]: |
1790737013 |
Last Name Of The Provider |
HATFIELD |
First Name Of The Provider |
MALLORY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
46 NORTH ST |
Street Address 2 Of The Provider |
SUITE 6 |
City Of The Provider |
HYANNIS |
Zip Code Of The Provider |
026013845 |
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 |
22 |
Number Of Services |
8527 |
Number Of Medicare Beneficiaries |
1309 |
Total Submitted Charge Amount |
6540725.78 |
Total Medicare Allowed Amount |
976327.74 |
Total Medicare Payment Amount |
732793.94 |
Total Medicare Standardized Payment Amount |
711713.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
842 |
Number Of Medicare Beneficiaries With Drug Services |
194 |
Total Drug Submitted ChargeAmount |
252114 |
Total Drug Medicare AllowedAmount |
41310.03 |
Total Drug Medicare PaymentAmount |
32115.63 |
Total Drug Medicare Standardized Payment Amount |
32115.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
7685 |
Number Of Medicare Beneficiaries With Medical Services |
1309 |
Total Medical Submitted Charge Amount |
6288611.78 |
Total Medical Medicare Allowed Amount |
935017.71 |
Total Medical Medicare Payment Amount |
700678.31 |
Total Medical Medicare Standardized Payment Amount |
679598.33 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
527 |
Number Of Beneficiaries Age 75 to 84 |
480 |
Number Of Beneficiaries Age Greater 84 |
244 |
Number Of Female Beneficiaries |
758 |
Number Of Male Beneficiaries |
551 |
Number Of Non Hispanic White Beneficiaries |
1262 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1207 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2318 |