| National Provider Identifier [NPI]: | 1679619654 |
| Last Name Of The Provider | VENTURA |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 535 FAUNCE CORNER RD |
| Street Address 2 Of The Provider | HAWTHORN MEDICAL ASSOC. |
| City Of The Provider | DARTMOUTH |
| Zip Code Of The Provider | 027471242 |
| State Code Of The Provider | MA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 128 |
| Number Of Services | 11214 |
| Number Of Medicare Beneficiaries | 2654 |
| Total Submitted Charge Amount | 1825325 |
| Total Medicare Allowed Amount | 547625.75 |
| Total Medicare Payment Amount | 416579.33 |
| Total Medicare Standardized Payment Amount | 408936.52 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 655 |
| Number Of Medicare Beneficiaries With Drug Services | 62 |
| Total Drug Submitted ChargeAmount | 178013 |
| Total Drug Medicare AllowedAmount | 58409.61 |
| Total Drug Medicare PaymentAmount | 45688.46 |
| Total Drug Medicare Standardized Payment Amount | 45688.46 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 121 |
| Number Of Medical Services | 10559 |
| Number Of Medicare Beneficiaries With Medical Services | 2654 |
| Total Medical Submitted Charge Amount | 1647312 |
| Total Medical Medicare Allowed Amount | 489216.14 |
| Total Medical Medicare Payment Amount | 370890.87 |
| Total Medical Medicare Standardized Payment Amount | 363248.06 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 523 |
| Number Of Beneficiaries Age 65 to 74 | 955 |
| Number Of Beneficiaries Age 75 to 84 | 758 |
| Number Of Beneficiaries Age Greater 84 | 418 |
| Number Of Female Beneficiaries | 1016 |
| Number Of Male Beneficiaries | 1638 |
| Number Of Non Hispanic White Beneficiaries | 2235 |
| Number Of Black or African American Beneficiaries | 71 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 257 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 73 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1753 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 901 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.3022 |