National Provider Identifier [NPI]: |
1164712071 |
Last Name Of The Provider |
CASHMAN |
First Name Of The Provider |
KATELIN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 PARKWAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAVERHILL |
Zip Code Of The Provider |
018306278 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
437 |
Number Of Medicare Beneficiaries |
268 |
Total Submitted Charge Amount |
102814 |
Total Medicare Allowed Amount |
30543.24 |
Total Medicare Payment Amount |
22152.78 |
Total Medicare Standardized Payment Amount |
25461.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
47 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
3092 |
Total Drug Medicare AllowedAmount |
1665.61 |
Total Drug Medicare PaymentAmount |
1632.01 |
Total Drug Medicare Standardized Payment Amount |
1632.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
390 |
Number Of Medicare Beneficiaries With Medical Services |
268 |
Total Medical Submitted Charge Amount |
99722 |
Total Medical Medicare Allowed Amount |
28877.63 |
Total Medical Medicare Payment Amount |
20520.77 |
Total Medical Medicare Standardized Payment Amount |
23829.55 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
98 |
Number Of Beneficiaries Age 75 to 84 |
49 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
197 |
Number Of Male Beneficiaries |
71 |
Number Of Non Hispanic White Beneficiaries |
243 |
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 |
159 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
109 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0608 |