National Provider Identifier [NPI]: |
1154346500 |
Last Name Of The Provider |
ABRAHAMS |
First Name Of The Provider |
HEATHER |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
132 OLD RIVER RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
LINCOLN |
Zip Code Of The Provider |
028651161 |
State Code Of The Provider |
RI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
8 |
Number Of Services |
344 |
Number Of Medicare Beneficiaries |
137 |
Total Submitted Charge Amount |
51153 |
Total Medicare Allowed Amount |
27365.31 |
Total Medicare Payment Amount |
18594.35 |
Total Medicare Standardized Payment Amount |
18027.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
8 |
Number Of Medical Services |
344 |
Number Of Medicare Beneficiaries With Medical Services |
137 |
Total Medical Submitted Charge Amount |
51153 |
Total Medical Medicare Allowed Amount |
27365.31 |
Total Medical Medicare Payment Amount |
18594.35 |
Total Medical Medicare Standardized Payment Amount |
18027.46 |
Average Age Of Beneficiaries |
48 |
Number Of Beneficiaries Age Less65 |
121 |
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
57 |
Number Of Male Beneficiaries |
80 |
Number Of Non Hispanic White Beneficiaries |
117 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
12 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
|
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
47 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
34 |
Percent Of With Ischemic Heart Disease |
10 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
10 |
Percent Of With Schizophrenia Other PsychoticDisorders |
58 |
Percent Of With Stroke |
0 |
Average HCC Risk Score Of Beneficiaries |
1.1845 |