Medicare Facts for Carlton T. Charity, LCSW


National Provider Identifier [NPI]: 1417910423
Last Name Of The Provider CHARITY
First Name Of The Provider CARLTON
Middle Initial Of The Provider T
Credentials Of The Provider LCSW
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 329 BATH RD
Street Address 2 Of The Provider
City Of The Provider BRUNSWICK
Zip Code Of The Provider 040112609
State Code Of The Provider ME
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 5
Number Of Services 770
Number Of Medicare Beneficiaries 67
Total Submitted Charge Amount 58367.57
Total Medicare Allowed Amount 50420.59
Total Medicare Payment Amount 37548.43
Total Medicare Standardized Payment Amount 38170.99
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 5
Number Of Medical Services 770
Number Of Medicare Beneficiaries With Medical Services 67
Total Medical Submitted Charge Amount 58367.57
Total Medical Medicare Allowed Amount 50420.59
Total Medical Medicare Payment Amount 37548.43
Total Medical Medicare Standardized Payment Amount 38170.99
Average Age Of Beneficiaries 52
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 37
Number Of Male Beneficiaries 30
Number Of Non Hispanic White Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 0
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 75
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 36
Percent Of With Hypertension 46
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 21
Percent Of With Schizophrenia Other PsychoticDisorders 21
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0015

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