National Provider Identifier [NPI]: |
1952310302 |
Last Name Of The Provider |
ZOUZAS |
First Name Of The Provider |
TANYA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
227 CHELMSFORD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHELMSFORD |
Zip Code Of The Provider |
01824 |
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 |
26 |
Number Of Services |
1117 |
Number Of Medicare Beneficiaries |
145 |
Total Submitted Charge Amount |
127138.61 |
Total Medicare Allowed Amount |
58654.69 |
Total Medicare Payment Amount |
45628.19 |
Total Medicare Standardized Payment Amount |
42801.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
60 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
5935 |
Total Drug Medicare AllowedAmount |
3759.91 |
Total Drug Medicare PaymentAmount |
3612.32 |
Total Drug Medicare Standardized Payment Amount |
3612.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
1057 |
Number Of Medicare Beneficiaries With Medical Services |
145 |
Total Medical Submitted Charge Amount |
121203.61 |
Total Medical Medicare Allowed Amount |
54894.78 |
Total Medical Medicare Payment Amount |
42015.87 |
Total Medical Medicare Standardized Payment Amount |
39188.96 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
55 |
Number Of Beneficiaries Age 75 to 84 |
37 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
93 |
Number Of Male Beneficiaries |
52 |
Number Of Non Hispanic White Beneficiaries |
117 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
95 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
9 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9512 |