National Provider Identifier [NPI]: |
1396043162 |
Last Name Of The Provider |
HARRINGTON |
First Name Of The Provider |
SAMANTHA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2300 SOUTHWOOD DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
NASHUA |
Zip Code Of The Provider |
030631818 |
State Code Of The Provider |
NH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
11 |
Number Of Services |
250 |
Number Of Medicare Beneficiaries |
157 |
Total Submitted Charge Amount |
40028.95 |
Total Medicare Allowed Amount |
14020.12 |
Total Medicare Payment Amount |
9563.82 |
Total Medicare Standardized Payment Amount |
11402.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
13 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
567.95 |
Total Drug Medicare AllowedAmount |
169.38 |
Total Drug Medicare PaymentAmount |
165.98 |
Total Drug Medicare Standardized Payment Amount |
165.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
9 |
Number Of Medical Services |
237 |
Number Of Medicare Beneficiaries With Medical Services |
157 |
Total Medical Submitted Charge Amount |
39461 |
Total Medical Medicare Allowed Amount |
13850.74 |
Total Medical Medicare Payment Amount |
9397.84 |
Total Medical Medicare Standardized Payment Amount |
11236.48 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
71 |
Number Of Beneficiaries Age 75 to 84 |
36 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
104 |
Number Of Male Beneficiaries |
53 |
Number Of Non Hispanic White Beneficiaries |
140 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
124 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
20 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
26 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
12 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8729 |