National Provider Identifier [NPI]: |
1467466284 |
Last Name Of The Provider |
BARRETT |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8 EAST MAIN STREET |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
CLINTON |
Zip Code Of The Provider |
064132058 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
2825 |
Number Of Medicare Beneficiaries |
870 |
Total Submitted Charge Amount |
298565 |
Total Medicare Allowed Amount |
179888.82 |
Total Medicare Payment Amount |
125097.47 |
Total Medicare Standardized Payment Amount |
113179.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
42 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
630 |
Total Drug Medicare AllowedAmount |
75.37 |
Total Drug Medicare PaymentAmount |
47.65 |
Total Drug Medicare Standardized Payment Amount |
47.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
2783 |
Number Of Medicare Beneficiaries With Medical Services |
870 |
Total Medical Submitted Charge Amount |
297935 |
Total Medical Medicare Allowed Amount |
179813.45 |
Total Medical Medicare Payment Amount |
125049.82 |
Total Medical Medicare Standardized Payment Amount |
113131.56 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
382 |
Number Of Beneficiaries Age 75 to 84 |
321 |
Number Of Beneficiaries Age Greater 84 |
153 |
Number Of Female Beneficiaries |
535 |
Number Of Male Beneficiaries |
335 |
Number Of Non Hispanic White Beneficiaries |
845 |
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 |
829 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
41 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9132 |