National Provider Identifier [NPI]: |
1205974722 |
Last Name Of The Provider |
MAHONEY |
First Name Of The Provider |
SHARON |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
489 BEARSES WAY |
Street Address 2 Of The Provider |
U A4 |
City Of The Provider |
HYANNIS |
Zip Code Of The Provider |
02601 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
2911 |
Number Of Medicare Beneficiaries |
761 |
Total Submitted Charge Amount |
268027 |
Total Medicare Allowed Amount |
170841.5 |
Total Medicare Payment Amount |
127574.81 |
Total Medicare Standardized Payment Amount |
125624.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
173 |
Number Of Medicare Beneficiaries With Drug Services |
158 |
Total Drug Submitted ChargeAmount |
5023 |
Total Drug Medicare AllowedAmount |
3689 |
Total Drug Medicare PaymentAmount |
3578.29 |
Total Drug Medicare Standardized Payment Amount |
3578.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
2738 |
Number Of Medicare Beneficiaries With Medical Services |
761 |
Total Medical Submitted Charge Amount |
263004 |
Total Medical Medicare Allowed Amount |
167152.5 |
Total Medical Medicare Payment Amount |
123996.52 |
Total Medical Medicare Standardized Payment Amount |
122046.04 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
314 |
Number Of Beneficiaries Age 75 to 84 |
252 |
Number Of Beneficiaries Age Greater 84 |
119 |
Number Of Female Beneficiaries |
494 |
Number Of Male Beneficiaries |
267 |
Number Of Non Hispanic White Beneficiaries |
727 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
646 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.9842 |