National Provider Identifier [NPI]: |
1841300845 |
Last Name Of The Provider |
OSTROW |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
272 CHESTNUT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEEDHAM |
Zip Code Of The Provider |
024922410 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
1830 |
Number Of Medicare Beneficiaries |
484 |
Total Submitted Charge Amount |
326018 |
Total Medicare Allowed Amount |
139914.75 |
Total Medicare Payment Amount |
104039.1 |
Total Medicare Standardized Payment Amount |
100519.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
74 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
4846 |
Total Drug Medicare AllowedAmount |
2751.8 |
Total Drug Medicare PaymentAmount |
2581.87 |
Total Drug Medicare Standardized Payment Amount |
2581.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1756 |
Number Of Medicare Beneficiaries With Medical Services |
484 |
Total Medical Submitted Charge Amount |
321172 |
Total Medical Medicare Allowed Amount |
137162.95 |
Total Medical Medicare Payment Amount |
101457.23 |
Total Medical Medicare Standardized Payment Amount |
97937.47 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
182 |
Number Of Beneficiaries Age 75 to 84 |
140 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
247 |
Number Of Male Beneficiaries |
237 |
Number Of Non Hispanic White Beneficiaries |
458 |
Number Of Black or African American Beneficiaries |
|
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 |
415 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4039 |