National Provider Identifier [NPI]: |
1588611545 |
Last Name Of The Provider |
SHULMAN |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14 RESEARCH PL |
Street Address 2 Of The Provider |
3RD FLOOR |
City Of The Provider |
N CHELMSFORD |
Zip Code Of The Provider |
018632412 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
3622 |
Number Of Medicare Beneficiaries |
1236 |
Total Submitted Charge Amount |
1036603 |
Total Medicare Allowed Amount |
305718.88 |
Total Medicare Payment Amount |
225757.56 |
Total Medicare Standardized Payment Amount |
211209.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
209 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
17248 |
Total Drug Medicare AllowedAmount |
10580.05 |
Total Drug Medicare PaymentAmount |
8179.46 |
Total Drug Medicare Standardized Payment Amount |
8179.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
3413 |
Number Of Medicare Beneficiaries With Medical Services |
1236 |
Total Medical Submitted Charge Amount |
1019355 |
Total Medical Medicare Allowed Amount |
295138.83 |
Total Medical Medicare Payment Amount |
217578.1 |
Total Medical Medicare Standardized Payment Amount |
203029.82 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
216 |
Number Of Beneficiaries Age 65 to 74 |
439 |
Number Of Beneficiaries Age 75 to 84 |
377 |
Number Of Beneficiaries Age Greater 84 |
204 |
Number Of Female Beneficiaries |
621 |
Number Of Male Beneficiaries |
615 |
Number Of Non Hispanic White Beneficiaries |
1063 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
61 |
Number Of Hispanic Beneficiaries |
84 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
829 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
407 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.786 |