National Provider Identifier [NPI]: |
1326068396 |
Last Name Of The Provider |
ANGELINI |
First Name Of The Provider |
PAULA |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
24 NEWTON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTHBOROUGH |
Zip Code Of The Provider |
017721215 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
3373 |
Number Of Medicare Beneficiaries |
611 |
Total Submitted Charge Amount |
336461 |
Total Medicare Allowed Amount |
216011.5 |
Total Medicare Payment Amount |
153454.53 |
Total Medicare Standardized Payment Amount |
148587.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
105 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
594 |
Total Drug Medicare AllowedAmount |
405.65 |
Total Drug Medicare PaymentAmount |
312.37 |
Total Drug Medicare Standardized Payment Amount |
312.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
3268 |
Number Of Medicare Beneficiaries With Medical Services |
611 |
Total Medical Submitted Charge Amount |
335867 |
Total Medical Medicare Allowed Amount |
215605.85 |
Total Medical Medicare Payment Amount |
153142.16 |
Total Medical Medicare Standardized Payment Amount |
148275.23 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
234 |
Number Of Beneficiaries Age 75 to 84 |
134 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
374 |
Number Of Male Beneficiaries |
237 |
Number Of Non Hispanic White Beneficiaries |
562 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
435 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
176 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.3282 |