National Provider Identifier [NPI]: |
1356341424 |
Last Name Of The Provider |
BUSSEY |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 MILL ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WOODSTOWN |
Zip Code Of The Provider |
080981025 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
3007 |
Number Of Medicare Beneficiaries |
593 |
Total Submitted Charge Amount |
273630 |
Total Medicare Allowed Amount |
219842.1 |
Total Medicare Payment Amount |
171089.19 |
Total Medicare Standardized Payment Amount |
166832.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
359 |
Number Of Medicare Beneficiaries With Drug Services |
202 |
Total Drug Submitted ChargeAmount |
23784 |
Total Drug Medicare AllowedAmount |
14646.23 |
Total Drug Medicare PaymentAmount |
12344.51 |
Total Drug Medicare Standardized Payment Amount |
12344.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
2648 |
Number Of Medicare Beneficiaries With Medical Services |
592 |
Total Medical Submitted Charge Amount |
249846 |
Total Medical Medicare Allowed Amount |
205195.87 |
Total Medical Medicare Payment Amount |
158744.68 |
Total Medical Medicare Standardized Payment Amount |
154487.66 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
250 |
Number Of Beneficiaries Age 75 to 84 |
148 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
353 |
Number Of Male Beneficiaries |
240 |
Number Of Non Hispanic White Beneficiaries |
556 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
529 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
64 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1539 |