| National Provider Identifier [NPI]: | 1932205382 |
| Last Name Of The Provider | THYRESSON |
| First Name Of The Provider | NILS |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | MERRIMACK MEDICAL CENTER @ MERRIMACK VALLEY HOSPITAL |
| Street Address 2 Of The Provider | 62 BROWN STREET, SUITE 301 |
| City Of The Provider | HAVERHILL |
| Zip Code Of The Provider | 01810 |
| State Code Of The Provider | MA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 86 |
| Number Of Services | 6784 |
| Number Of Medicare Beneficiaries | 1474 |
| Total Submitted Charge Amount | 665238.72 |
| Total Medicare Allowed Amount | 480120.91 |
| Total Medicare Payment Amount | 357376.54 |
| Total Medicare Standardized Payment Amount | 338893.15 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 99 |
| Number Of Medicare Beneficiaries With Drug Services | 24 |
| Total Drug Submitted ChargeAmount | 656.5 |
| Total Drug Medicare AllowedAmount | 176.11 |
| Total Drug Medicare PaymentAmount | 135.21 |
| Total Drug Medicare Standardized Payment Amount | 135.21 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 85 |
| Number Of Medical Services | 6685 |
| Number Of Medicare Beneficiaries With Medical Services | 1474 |
| Total Medical Submitted Charge Amount | 664582.22 |
| Total Medical Medicare Allowed Amount | 479944.8 |
| Total Medical Medicare Payment Amount | 357241.33 |
| Total Medical Medicare Standardized Payment Amount | 338757.94 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 114 |
| Number Of Beneficiaries Age 65 to 74 | 696 |
| Number Of Beneficiaries Age 75 to 84 | 449 |
| Number Of Beneficiaries Age Greater 84 | 215 |
| Number Of Female Beneficiaries | 780 |
| Number Of Male Beneficiaries | 694 |
| Number Of Non Hispanic White Beneficiaries | 1427 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 11 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1324 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 150 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 16 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 22 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 64 |
| Percent Of With Ischemic Heart Disease | 27 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0122 |