National Provider Identifier [NPI]: |
1134194855 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2 ESSEX CENTER DR |
Street Address 2 Of The Provider |
LYNNFIELD MEDICAL ASSOCIATES |
City Of The Provider |
PEABODY |
Zip Code Of The Provider |
019602902 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
158 |
Number Of Services |
6477 |
Number Of Medicare Beneficiaries |
364 |
Total Submitted Charge Amount |
176058.01 |
Total Medicare Allowed Amount |
126381.73 |
Total Medicare Payment Amount |
105395.87 |
Total Medicare Standardized Payment Amount |
104407.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
1380 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
13239.01 |
Total Drug Medicare AllowedAmount |
11084.21 |
Total Drug Medicare PaymentAmount |
9274.44 |
Total Drug Medicare Standardized Payment Amount |
9274.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
143 |
Number Of Medical Services |
5097 |
Number Of Medicare Beneficiaries With Medical Services |
364 |
Total Medical Submitted Charge Amount |
162819 |
Total Medical Medicare Allowed Amount |
115297.52 |
Total Medical Medicare Payment Amount |
96121.43 |
Total Medical Medicare Standardized Payment Amount |
95132.92 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
86 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
161 |
Number Of Male Beneficiaries |
203 |
Number Of Non Hispanic White Beneficiaries |
335 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
300 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
64 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1388 |