National Provider Identifier [NPI]: |
1871569905 |
Last Name Of The Provider |
REID |
First Name Of The Provider |
CHRISTINE |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MS ANP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
714 MAIN ST |
Street Address 2 Of The Provider |
SUITE 706A, BICKFORD HEALTH ASSOCIATES,PC |
City Of The Provider |
YARMOUTH PORT |
Zip Code Of The Provider |
026752000 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
675 |
Number Of Medicare Beneficiaries |
202 |
Total Submitted Charge Amount |
80067 |
Total Medicare Allowed Amount |
38057.75 |
Total Medicare Payment Amount |
29505.92 |
Total Medicare Standardized Payment Amount |
33759.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
32 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
2400 |
Total Drug Medicare AllowedAmount |
1191.85 |
Total Drug Medicare PaymentAmount |
1167.92 |
Total Drug Medicare Standardized Payment Amount |
1167.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
643 |
Number Of Medicare Beneficiaries With Medical Services |
202 |
Total Medical Submitted Charge Amount |
77667 |
Total Medical Medicare Allowed Amount |
36865.9 |
Total Medical Medicare Payment Amount |
28338 |
Total Medical Medicare Standardized Payment Amount |
32591.3 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
82 |
Number Of Beneficiaries Age 75 to 84 |
51 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
150 |
Number Of Male Beneficiaries |
52 |
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 |
154 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9883 |