Medicare Facts for Josephine Cassidy-Quinn, LADC


National Provider Identifier [NPI]: 1154489789
Last Name Of The Provider CASSIDY-QUINN
First Name Of The Provider JOSEPHINE
Middle Initial Of The Provider
Credentials Of The Provider LICSW, LADC
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 2112 RIVERDALE ST
Street Address 2 Of The Provider
City Of The Provider WEST SPRINGFIELD
Zip Code Of The Provider 010891024
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 4
Number Of Services 75
Number Of Medicare Beneficiaries 11
Total Submitted Charge Amount 20742.6
Total Medicare Allowed Amount 4862.84
Total Medicare Payment Amount 3516.29
Total Medicare Standardized Payment Amount 3750.29
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 4
Number Of Medical Services 75
Number Of Medicare Beneficiaries With Medical Services 11
Total Medical Submitted Charge Amount 20742.6
Total Medical Medicare Allowed Amount 4862.84
Total Medical Medicare Payment Amount 3516.29
Total Medical Medicare Standardized Payment Amount 3750.29
Average Age Of Beneficiaries 49
Number Of Beneficiaries Age Less65 11
Number Of Beneficiaries Age 65 to 74 0
Number Of Beneficiaries Age 75 to 84 0
Number Of Beneficiaries Age Greater 84 0
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
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 0
Percent Of With Cancer 0
Percent Of With Heart Failure 0
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes
Percent Of With Hyperlipidemia
Percent Of With Hypertension
Percent Of With Ischemic Heart Disease 0
Percent Of With Osteoporosis 0
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1981

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