National Provider Identifier [NPI]: |
1376642157 |
Last Name Of The Provider |
BUDMAN |
First Name Of The Provider |
SVETLANA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
71 WASHINGTON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRIGHTON |
Zip Code Of The Provider |
021354301 |
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 |
35 |
Number Of Services |
2290 |
Number Of Medicare Beneficiaries |
299 |
Total Submitted Charge Amount |
428869.18 |
Total Medicare Allowed Amount |
175983.57 |
Total Medicare Payment Amount |
128528.02 |
Total Medicare Standardized Payment Amount |
122116.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
97 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
2770.18 |
Total Drug Medicare AllowedAmount |
1349.35 |
Total Drug Medicare PaymentAmount |
1294.51 |
Total Drug Medicare Standardized Payment Amount |
1294.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
2193 |
Number Of Medicare Beneficiaries With Medical Services |
299 |
Total Medical Submitted Charge Amount |
426099 |
Total Medical Medicare Allowed Amount |
174634.22 |
Total Medical Medicare Payment Amount |
127233.51 |
Total Medical Medicare Standardized Payment Amount |
120821.83 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
81 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
192 |
Number Of Male Beneficiaries |
107 |
Number Of Non Hispanic White Beneficiaries |
239 |
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 |
29 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
270 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.5529 |