National Provider Identifier [NPI]: |
1982693594 |
Last Name Of The Provider |
KIRBY |
First Name Of The Provider |
ROBIN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
41 HIGHLAND AVE |
Street Address 2 Of The Provider |
WINCHESTER HOSPITAL |
City Of The Provider |
WINCHESTER |
Zip Code Of The Provider |
018901446 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
6545 |
Number Of Medicare Beneficiaries |
3320 |
Total Submitted Charge Amount |
1537499.34 |
Total Medicare Allowed Amount |
543994.6 |
Total Medicare Payment Amount |
405817.85 |
Total Medicare Standardized Payment Amount |
316578.93 |
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 |
26 |
Number Of Medical Services |
6545 |
Number Of Medicare Beneficiaries With Medical Services |
3320 |
Total Medical Submitted Charge Amount |
1537499.34 |
Total Medical Medicare Allowed Amount |
543994.6 |
Total Medical Medicare Payment Amount |
405817.85 |
Total Medical Medicare Standardized Payment Amount |
316578.93 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
296 |
Number Of Beneficiaries Age 65 to 74 |
1409 |
Number Of Beneficiaries Age 75 to 84 |
1107 |
Number Of Beneficiaries Age Greater 84 |
508 |
Number Of Female Beneficiaries |
1582 |
Number Of Male Beneficiaries |
1738 |
Number Of Non Hispanic White Beneficiaries |
3087 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
116 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
47 |
Number Of Beneficiaries With Medicare Only Entitlement |
2846 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
474 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1142 |