National Provider Identifier [NPI]: |
1801991351 |
Last Name Of The Provider |
JOSELOW |
First Name Of The Provider |
STEVE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
23 HAMPTON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
EXETER |
Zip Code Of The Provider |
038334807 |
State Code Of The Provider |
NH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
17786 |
Number Of Medicare Beneficiaries |
2272 |
Total Submitted Charge Amount |
1973606.17 |
Total Medicare Allowed Amount |
1333213.6 |
Total Medicare Payment Amount |
1004178.2 |
Total Medicare Standardized Payment Amount |
979446.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
68 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
3814.45 |
Total Drug Medicare AllowedAmount |
3153.86 |
Total Drug Medicare PaymentAmount |
2470.3 |
Total Drug Medicare Standardized Payment Amount |
2470.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
121 |
Number Of Medical Services |
17718 |
Number Of Medicare Beneficiaries With Medical Services |
2272 |
Total Medical Submitted Charge Amount |
1969791.72 |
Total Medical Medicare Allowed Amount |
1330059.74 |
Total Medical Medicare Payment Amount |
1001707.9 |
Total Medical Medicare Standardized Payment Amount |
976975.94 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
962 |
Number Of Beneficiaries Age 75 to 84 |
840 |
Number Of Beneficiaries Age Greater 84 |
427 |
Number Of Female Beneficiaries |
1099 |
Number Of Male Beneficiaries |
1173 |
Number Of Non Hispanic White Beneficiaries |
2228 |
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 |
2175 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9594 |