National Provider Identifier [NPI]: |
1194990382 |
Last Name Of The Provider |
COJOCARU |
First Name Of The Provider |
ANA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
277 PLEASANT ST |
Street Address 2 Of The Provider |
PRIMA CARE MEDICAL |
City Of The Provider |
FALL RIVER |
Zip Code Of The Provider |
027213005 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
2679 |
Number Of Medicare Beneficiaries |
430 |
Total Submitted Charge Amount |
708573 |
Total Medicare Allowed Amount |
218673.4 |
Total Medicare Payment Amount |
169673.75 |
Total Medicare Standardized Payment Amount |
167886.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
857 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
24200 |
Total Drug Medicare AllowedAmount |
21388 |
Total Drug Medicare PaymentAmount |
17110.45 |
Total Drug Medicare Standardized Payment Amount |
17110.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
1822 |
Number Of Medicare Beneficiaries With Medical Services |
430 |
Total Medical Submitted Charge Amount |
684373 |
Total Medical Medicare Allowed Amount |
197285.4 |
Total Medical Medicare Payment Amount |
152563.3 |
Total Medical Medicare Standardized Payment Amount |
150775.82 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
124 |
Number Of Beneficiaries Age 75 to 84 |
116 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
226 |
Number Of Male Beneficiaries |
204 |
Number Of Non Hispanic White Beneficiaries |
388 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
216 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
214 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
31 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
67 |
Percent Of With Depression |
53 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.2586 |