National Provider Identifier [NPI]: |
1629010947 |
Last Name Of The Provider |
HYNNINEN |
First Name Of The Provider |
BRETT |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
55 FEDERAL ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
GREENFIELD |
Zip Code Of The Provider |
013012546 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
3676 |
Number Of Medicare Beneficiaries |
468 |
Total Submitted Charge Amount |
896493.5 |
Total Medicare Allowed Amount |
195451.32 |
Total Medicare Payment Amount |
146565.86 |
Total Medicare Standardized Payment Amount |
136441.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
2019 |
Number Of Medicare Beneficiaries With Drug Services |
152 |
Total Drug Submitted ChargeAmount |
10936.5 |
Total Drug Medicare AllowedAmount |
2381.81 |
Total Drug Medicare PaymentAmount |
1814.57 |
Total Drug Medicare Standardized Payment Amount |
1814.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
1657 |
Number Of Medicare Beneficiaries With Medical Services |
468 |
Total Medical Submitted Charge Amount |
885557 |
Total Medical Medicare Allowed Amount |
193069.51 |
Total Medical Medicare Payment Amount |
144751.29 |
Total Medical Medicare Standardized Payment Amount |
134626.76 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
191 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
288 |
Number Of Male Beneficiaries |
180 |
Number Of Non Hispanic White Beneficiaries |
439 |
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
310 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
158 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0933 |