National Provider Identifier [NPI]: |
1003870973 |
Last Name Of The Provider |
MCCABE |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
67 BELMONT STREET |
Street Address 2 Of The Provider |
SUITE 302 |
City Of The Provider |
WORCESTER |
Zip Code Of The Provider |
01605 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
6230 |
Number Of Medicare Beneficiaries |
907 |
Total Submitted Charge Amount |
2007914.8 |
Total Medicare Allowed Amount |
1227209.11 |
Total Medicare Payment Amount |
941443.33 |
Total Medicare Standardized Payment Amount |
932246.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2091 |
Number Of Medicare Beneficiaries With Drug Services |
238 |
Total Drug Submitted ChargeAmount |
976673.8 |
Total Drug Medicare AllowedAmount |
841410.71 |
Total Drug Medicare PaymentAmount |
656098.3 |
Total Drug Medicare Standardized Payment Amount |
656098.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
4139 |
Number Of Medicare Beneficiaries With Medical Services |
907 |
Total Medical Submitted Charge Amount |
1031241 |
Total Medical Medicare Allowed Amount |
385798.4 |
Total Medical Medicare Payment Amount |
285345.03 |
Total Medical Medicare Standardized Payment Amount |
276148.08 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
310 |
Number Of Beneficiaries Age 75 to 84 |
271 |
Number Of Beneficiaries Age Greater 84 |
253 |
Number Of Female Beneficiaries |
563 |
Number Of Male Beneficiaries |
344 |
Number Of Non Hispanic White Beneficiaries |
847 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
768 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3608 |