National Provider Identifier [NPI]: |
1245249671 |
Last Name Of The Provider |
CUTTER |
First Name Of The Provider |
CYNTHIA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
PAC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
51 LOCUST ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTHAMPTON |
Zip Code Of The Provider |
010602045 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
2624 |
Number Of Medicare Beneficiaries |
390 |
Total Submitted Charge Amount |
263884 |
Total Medicare Allowed Amount |
126717.5 |
Total Medicare Payment Amount |
105842.93 |
Total Medicare Standardized Payment Amount |
127211.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
30 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
714 |
Total Drug Medicare AllowedAmount |
308.16 |
Total Drug Medicare PaymentAmount |
236.93 |
Total Drug Medicare Standardized Payment Amount |
236.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
2594 |
Number Of Medicare Beneficiaries With Medical Services |
390 |
Total Medical Submitted Charge Amount |
263170 |
Total Medical Medicare Allowed Amount |
126409.34 |
Total Medical Medicare Payment Amount |
105606 |
Total Medical Medicare Standardized Payment Amount |
126974.46 |
Average Age Of Beneficiaries |
61 |
Number Of Beneficiaries Age Less65 |
169 |
Number Of Beneficiaries Age 65 to 74 |
123 |
Number Of Beneficiaries Age 75 to 84 |
67 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
224 |
Number Of Male Beneficiaries |
166 |
Number Of Non Hispanic White Beneficiaries |
362 |
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 |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
212 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
178 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
28 |
Percent Of With Hypertension |
42 |
Percent Of With Ischemic Heart Disease |
14 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0189 |