National Provider Identifier [NPI]: |
1972540177 |
Last Name Of The Provider |
TANG |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
182 W CENTRAL ST STE 102 |
Street Address 2 Of The Provider |
RETINA EYE CARE, P.C. |
City Of The Provider |
NATICK |
Zip Code Of The Provider |
017603756 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
5491 |
Number Of Medicare Beneficiaries |
812 |
Total Submitted Charge Amount |
2037825 |
Total Medicare Allowed Amount |
1082451.83 |
Total Medicare Payment Amount |
827452.83 |
Total Medicare Standardized Payment Amount |
798669.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1656 |
Number Of Medicare Beneficiaries With Drug Services |
140 |
Total Drug Submitted ChargeAmount |
776550 |
Total Drug Medicare AllowedAmount |
614659.03 |
Total Drug Medicare PaymentAmount |
481740.98 |
Total Drug Medicare Standardized Payment Amount |
481740.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
3835 |
Number Of Medicare Beneficiaries With Medical Services |
812 |
Total Medical Submitted Charge Amount |
1261275 |
Total Medical Medicare Allowed Amount |
467792.8 |
Total Medical Medicare Payment Amount |
345711.85 |
Total Medical Medicare Standardized Payment Amount |
316928.22 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
314 |
Number Of Beneficiaries Age 75 to 84 |
263 |
Number Of Beneficiaries Age Greater 84 |
187 |
Number Of Female Beneficiaries |
474 |
Number Of Male Beneficiaries |
338 |
Number Of Non Hispanic White Beneficiaries |
747 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
720 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.188 |