National Provider Identifier [NPI]: |
1992728042 |
Last Name Of The Provider |
SYLVESTER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10 HIGH ST |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
LEWISTON |
Zip Code Of The Provider |
042407640 |
State Code Of The Provider |
ME |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
174750 |
Number Of Medicare Beneficiaries |
757 |
Total Submitted Charge Amount |
6790293.25 |
Total Medicare Allowed Amount |
3683990.1 |
Total Medicare Payment Amount |
2884473.38 |
Total Medicare Standardized Payment Amount |
2899456.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
139157 |
Number Of Medicare Beneficiaries With Drug Services |
478 |
Total Drug Submitted ChargeAmount |
4974454 |
Total Drug Medicare AllowedAmount |
3068630.59 |
Total Drug Medicare PaymentAmount |
2388164.1 |
Total Drug Medicare Standardized Payment Amount |
2388164.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
35593 |
Number Of Medicare Beneficiaries With Medical Services |
756 |
Total Medical Submitted Charge Amount |
1815839.25 |
Total Medical Medicare Allowed Amount |
615359.51 |
Total Medical Medicare Payment Amount |
496309.28 |
Total Medical Medicare Standardized Payment Amount |
511292.6 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
218 |
Number Of Beneficiaries Age 65 to 74 |
264 |
Number Of Beneficiaries Age 75 to 84 |
201 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
543 |
Number Of Male Beneficiaries |
214 |
Number Of Non Hispanic White Beneficiaries |
733 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
405 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
352 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
28 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1087 |