National Provider Identifier [NPI]: |
1881756153 |
Last Name Of The Provider |
RAPO |
First Name Of The Provider |
SEPPO |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
175 BAXTERS NECK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MARSTONS MILLS |
Zip Code Of The Provider |
026481809 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
446 |
Number Of Medicare Beneficiaries |
116 |
Total Submitted Charge Amount |
44489 |
Total Medicare Allowed Amount |
36792.9 |
Total Medicare Payment Amount |
26452.12 |
Total Medicare Standardized Payment Amount |
25889.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
52 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
1110 |
Total Drug Medicare AllowedAmount |
751.66 |
Total Drug Medicare PaymentAmount |
736.52 |
Total Drug Medicare Standardized Payment Amount |
736.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
394 |
Number Of Medicare Beneficiaries With Medical Services |
116 |
Total Medical Submitted Charge Amount |
43379 |
Total Medical Medicare Allowed Amount |
36041.24 |
Total Medical Medicare Payment Amount |
25715.6 |
Total Medical Medicare Standardized Payment Amount |
25152.66 |
Average Age Of Beneficiaries |
84 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
26 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
72 |
Number Of Male Beneficiaries |
44 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
74 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
61 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8589 |