Medicare Facts for John P. Douzepis, PT


National Provider Identifier [NPI]: 1164533881
Last Name Of The Provider DOUZEPIS
First Name Of The Provider JOHN
Middle Initial Of The Provider P
Credentials Of The Provider PT
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 602 BROADWAY
Street Address 2 Of The Provider
City Of The Provider EVERETT
Zip Code Of The Provider 021493743
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider Physical Therapist
Medicare Participation Indicator Y
Number Of HCPCS 12
Number Of Services 1550
Number Of Medicare Beneficiaries 103
Total Submitted Charge Amount 86080
Total Medicare Allowed Amount 41065.41
Total Medicare Payment Amount 30731.64
Total Medicare Standardized Payment Amount 29095.05
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 12
Number Of Medical Services 1550
Number Of Medicare Beneficiaries With Medical Services 103
Total Medical Submitted Charge Amount 86080
Total Medical Medicare Allowed Amount 41065.41
Total Medical Medicare Payment Amount 30731.64
Total Medical Medicare Standardized Payment Amount 29095.05
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 46
Number Of Beneficiaries Age 75 to 84 36
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 60
Number Of Male Beneficiaries 43
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 21
Percent Of With Diabetes 19
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 59
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis 12
Percent Of With Rheumatoid Arthritis Osteoarthritis 55
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0018

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