National Provider Identifier [NPI]: |
1841393923 |
Last Name Of The Provider |
CHERRY |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
77 HOSPITAL AVE |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
NORTH ADAMS |
Zip Code Of The Provider |
012472698 |
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 |
42 |
Number Of Services |
4217 |
Number Of Medicare Beneficiaries |
744 |
Total Submitted Charge Amount |
330271 |
Total Medicare Allowed Amount |
202212.14 |
Total Medicare Payment Amount |
140792.32 |
Total Medicare Standardized Payment Amount |
137438.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
309 |
Number Of Medicare Beneficiaries With Drug Services |
277 |
Total Drug Submitted ChargeAmount |
9240 |
Total Drug Medicare AllowedAmount |
7464.64 |
Total Drug Medicare PaymentAmount |
7312.62 |
Total Drug Medicare Standardized Payment Amount |
7312.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
3908 |
Number Of Medicare Beneficiaries With Medical Services |
744 |
Total Medical Submitted Charge Amount |
321031 |
Total Medical Medicare Allowed Amount |
194747.5 |
Total Medical Medicare Payment Amount |
133479.7 |
Total Medical Medicare Standardized Payment Amount |
130126.11 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
242 |
Number Of Beneficiaries Age 75 to 84 |
242 |
Number Of Beneficiaries Age Greater 84 |
123 |
Number Of Female Beneficiaries |
385 |
Number Of Male Beneficiaries |
359 |
Number Of Non Hispanic White Beneficiaries |
720 |
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 |
543 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
201 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1111 |