Medicare Facts for Dr. Paul S. Thaler, MD


National Provider Identifier [NPI]: 1538169594
Last Name Of The Provider THALER
First Name Of The Provider PAUL
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 70 MAIN ST
Street Address 2 Of The Provider NORTHAMPTON HEALTH CENTER
City Of The Provider FLORENCE
Zip Code Of The Provider 010621466
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 196
Number Of Services 6679
Number Of Medicare Beneficiaries 825
Total Submitted Charge Amount 615636
Total Medicare Allowed Amount 261358.41
Total Medicare Payment Amount 202662.49
Total Medicare Standardized Payment Amount 200294.62
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 24
Number Of Drug Services 396
Number Of Medicare Beneficiaries With Drug Services 222
Total Drug Submitted ChargeAmount 10318
Total Drug Medicare AllowedAmount 6846.95
Total Drug Medicare PaymentAmount 6448.76
Total Drug Medicare Standardized Payment Amount 6448.76
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 172
Number Of Medical Services 6283
Number Of Medicare Beneficiaries With Medical Services 825
Total Medical Submitted Charge Amount 605318
Total Medical Medicare Allowed Amount 254511.46
Total Medical Medicare Payment Amount 196213.73
Total Medical Medicare Standardized Payment Amount 193845.86
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65 216
Number Of Beneficiaries Age 65 to 74 374
Number Of Beneficiaries Age 75 to 84 162
Number Of Beneficiaries Age Greater 84 73
Number Of Female Beneficiaries 496
Number Of Male Beneficiaries 329
Number Of Non Hispanic White Beneficiaries 737
Number Of Black or African American Beneficiaries 17
Number Of AsianPacific Islander Beneficiaries 22
Number Of Hispanic Beneficiaries 33
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 548
Number Of Beneficiaries With Medicare Medicaid Entitlement 277
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 10
Percent Of With Cancer 8
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 33
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 38
Percent Of With Hypertension 57
Percent Of With Ischemic Heart Disease 19
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 2
Average HCC Risk Score Of Beneficiaries 1.0502

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