National Provider Identifier [NPI]: |
1902870322 |
Last Name Of The Provider |
WEITZMAN |
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 |
234 RUSSELL ST |
Street Address 2 Of The Provider |
#7, HADLEY FAMILY PRACTICE |
City Of The Provider |
HADLEY |
Zip Code Of The Provider |
010353534 |
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 |
61 |
Number Of Services |
2450 |
Number Of Medicare Beneficiaries |
397 |
Total Submitted Charge Amount |
321593.37 |
Total Medicare Allowed Amount |
172873.97 |
Total Medicare Payment Amount |
130021.22 |
Total Medicare Standardized Payment Amount |
126660.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
378 |
Number Of Medicare Beneficiaries With Drug Services |
181 |
Total Drug Submitted ChargeAmount |
25738.37 |
Total Drug Medicare AllowedAmount |
18081.49 |
Total Drug Medicare PaymentAmount |
17523.01 |
Total Drug Medicare Standardized Payment Amount |
17523.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
2072 |
Number Of Medicare Beneficiaries With Medical Services |
397 |
Total Medical Submitted Charge Amount |
295855 |
Total Medical Medicare Allowed Amount |
154792.48 |
Total Medical Medicare Payment Amount |
112498.21 |
Total Medical Medicare Standardized Payment Amount |
109137.73 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
180 |
Number Of Beneficiaries Age 75 to 84 |
114 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
206 |
Number Of Male Beneficiaries |
191 |
Number Of Non Hispanic White Beneficiaries |
363 |
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 |
321 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
76 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
12 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9207 |