National Provider Identifier [NPI]: |
1538155171 |
Last Name Of The Provider |
BARRAND |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
85 HERRICK STREET |
Street Address 2 Of The Provider |
RADIOLOGY DEPARTMENT |
City Of The Provider |
BEVERLY |
Zip Code Of The Provider |
019151790 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
166 |
Number Of Services |
3907 |
Number Of Medicare Beneficiaries |
2543 |
Total Submitted Charge Amount |
358155 |
Total Medicare Allowed Amount |
116979.25 |
Total Medicare Payment Amount |
86224.96 |
Total Medicare Standardized Payment Amount |
86222.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
166 |
Number Of Medical Services |
3907 |
Number Of Medicare Beneficiaries With Medical Services |
2543 |
Total Medical Submitted Charge Amount |
358155 |
Total Medical Medicare Allowed Amount |
116979.25 |
Total Medical Medicare Payment Amount |
86224.96 |
Total Medical Medicare Standardized Payment Amount |
86222.02 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
427 |
Number Of Beneficiaries Age 65 to 74 |
816 |
Number Of Beneficiaries Age 75 to 84 |
717 |
Number Of Beneficiaries Age Greater 84 |
583 |
Number Of Female Beneficiaries |
1539 |
Number Of Male Beneficiaries |
1004 |
Number Of Non Hispanic White Beneficiaries |
2424 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
1754 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
789 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7098 |