National Provider Identifier [NPI]: |
1952690240 |
Last Name Of The Provider |
RITCHIE |
First Name Of The Provider |
MICHELLE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
150 YORK ST |
Street Address 2 Of The Provider |
C/O NEW ENGLAND SINAI HOSPITAL |
City Of The Provider |
STOUGHTON |
Zip Code Of The Provider |
020721829 |
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 |
58 |
Number Of Services |
1364 |
Number Of Medicare Beneficiaries |
367 |
Total Submitted Charge Amount |
195452 |
Total Medicare Allowed Amount |
82110.07 |
Total Medicare Payment Amount |
64663.86 |
Total Medicare Standardized Payment Amount |
72798.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
15 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
420 |
Total Drug Medicare AllowedAmount |
185.31 |
Total Drug Medicare PaymentAmount |
179.9 |
Total Drug Medicare Standardized Payment Amount |
179.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
1349 |
Number Of Medicare Beneficiaries With Medical Services |
367 |
Total Medical Submitted Charge Amount |
195032 |
Total Medical Medicare Allowed Amount |
81924.76 |
Total Medical Medicare Payment Amount |
64483.96 |
Total Medical Medicare Standardized Payment Amount |
72619.05 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
165 |
Number Of Beneficiaries Age 75 to 84 |
90 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
208 |
Number Of Male Beneficiaries |
159 |
Number Of Non Hispanic White Beneficiaries |
343 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
234 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
133 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
49 |
Percent Of With Depression |
54 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.7145 |