National Provider Identifier [NPI]: |
1194878678 |
Last Name Of The Provider |
LIBERMAN |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
37 BROADWAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
ARLINGTON |
Zip Code Of The Provider |
024745552 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
6150 |
Number Of Medicare Beneficiaries |
1101 |
Total Submitted Charge Amount |
446492.05 |
Total Medicare Allowed Amount |
194836.78 |
Total Medicare Payment Amount |
148502.04 |
Total Medicare Standardized Payment Amount |
140795.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
2244 |
Number Of Medicare Beneficiaries With Drug Services |
369 |
Total Drug Submitted ChargeAmount |
71791.05 |
Total Drug Medicare AllowedAmount |
34977.19 |
Total Drug Medicare PaymentAmount |
29319.03 |
Total Drug Medicare Standardized Payment Amount |
29319.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
3906 |
Number Of Medicare Beneficiaries With Medical Services |
1100 |
Total Medical Submitted Charge Amount |
374701 |
Total Medical Medicare Allowed Amount |
159859.59 |
Total Medical Medicare Payment Amount |
119183.01 |
Total Medical Medicare Standardized Payment Amount |
111476.15 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
329 |
Number Of Beneficiaries Age 75 to 84 |
405 |
Number Of Beneficiaries Age Greater 84 |
269 |
Number Of Female Beneficiaries |
616 |
Number Of Male Beneficiaries |
485 |
Number Of Non Hispanic White Beneficiaries |
1051 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
922 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
179 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2628 |