National Provider Identifier [NPI]: |
1932293479 |
Last Name Of The Provider |
NEWSOME |
First Name Of The Provider |
BARRETT |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
30 LOCUST ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTHAMPTON |
Zip Code Of The Provider |
010602052 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
34259 |
Number Of Medicare Beneficiaries |
364 |
Total Submitted Charge Amount |
1427825.52 |
Total Medicare Allowed Amount |
944805.08 |
Total Medicare Payment Amount |
736940.92 |
Total Medicare Standardized Payment Amount |
729722.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
53 |
Number Of Drug Services |
31723 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
1069295.52 |
Total Drug Medicare AllowedAmount |
761519.95 |
Total Drug Medicare PaymentAmount |
596741.24 |
Total Drug Medicare Standardized Payment Amount |
596741.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
2536 |
Number Of Medicare Beneficiaries With Medical Services |
364 |
Total Medical Submitted Charge Amount |
358530 |
Total Medical Medicare Allowed Amount |
183285.13 |
Total Medical Medicare Payment Amount |
140199.68 |
Total Medical Medicare Standardized Payment Amount |
132981.43 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
141 |
Number Of Beneficiaries Age 75 to 84 |
114 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
157 |
Number Of Male Beneficiaries |
207 |
Number Of Non Hispanic White Beneficiaries |
343 |
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 |
299 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.8521 |