National Provider Identifier [NPI]: |
1912913039 |
Last Name Of The Provider |
STOTSKY |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
64 CONCORD STREET |
Street Address 2 Of The Provider |
STE C |
City Of The Provider |
WILMINGTON |
Zip Code Of The Provider |
01887 |
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 |
73 |
Number Of Services |
68429 |
Number Of Medicare Beneficiaries |
471 |
Total Submitted Charge Amount |
4853620 |
Total Medicare Allowed Amount |
2226845.48 |
Total Medicare Payment Amount |
1694837.69 |
Total Medicare Standardized Payment Amount |
1671470.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
29 |
Number Of Drug Services |
63652 |
Number Of Medicare Beneficiaries With Drug Services |
272 |
Total Drug Submitted ChargeAmount |
3835751 |
Total Drug Medicare AllowedAmount |
1840160.62 |
Total Drug Medicare PaymentAmount |
1404216.96 |
Total Drug Medicare Standardized Payment Amount |
1404216.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
4777 |
Number Of Medicare Beneficiaries With Medical Services |
471 |
Total Medical Submitted Charge Amount |
1017869 |
Total Medical Medicare Allowed Amount |
386684.86 |
Total Medical Medicare Payment Amount |
290620.73 |
Total Medical Medicare Standardized Payment Amount |
267253.62 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
231 |
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
364 |
Number Of Male Beneficiaries |
107 |
Number Of Non Hispanic White Beneficiaries |
446 |
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 |
367 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
104 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0888 |