National Provider Identifier [NPI]: |
1225096167 |
Last Name Of The Provider |
MORSS |
First Name Of The Provider |
ALEXANDER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
541 MAIN ST |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
SOUTH WEYMOUTH |
Zip Code Of The Provider |
021901868 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
5240 |
Number Of Medicare Beneficiaries |
1970 |
Total Submitted Charge Amount |
982810 |
Total Medicare Allowed Amount |
448436.04 |
Total Medicare Payment Amount |
333911.03 |
Total Medicare Standardized Payment Amount |
310875.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
244 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
17596 |
Total Drug Medicare AllowedAmount |
11795.55 |
Total Drug Medicare PaymentAmount |
9268.91 |
Total Drug Medicare Standardized Payment Amount |
9268.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
4996 |
Number Of Medicare Beneficiaries With Medical Services |
1970 |
Total Medical Submitted Charge Amount |
965214 |
Total Medical Medicare Allowed Amount |
436640.49 |
Total Medical Medicare Payment Amount |
324642.12 |
Total Medical Medicare Standardized Payment Amount |
301606.16 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
164 |
Number Of Beneficiaries Age 65 to 74 |
638 |
Number Of Beneficiaries Age 75 to 84 |
692 |
Number Of Beneficiaries Age Greater 84 |
476 |
Number Of Female Beneficiaries |
1143 |
Number Of Male Beneficiaries |
827 |
Number Of Non Hispanic White Beneficiaries |
1902 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
1675 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
295 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6922 |