National Provider Identifier [NPI]: |
1508820366 |
Last Name Of The Provider |
BUFFUM |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
SUITE 410 |
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
011071270 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
5229 |
Number Of Medicare Beneficiaries |
2693 |
Total Submitted Charge Amount |
669170 |
Total Medicare Allowed Amount |
298578.76 |
Total Medicare Payment Amount |
220970.55 |
Total Medicare Standardized Payment Amount |
217171.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
107 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
8535 |
Total Drug Medicare AllowedAmount |
5497.18 |
Total Drug Medicare PaymentAmount |
4309.74 |
Total Drug Medicare Standardized Payment Amount |
4309.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
5122 |
Number Of Medicare Beneficiaries With Medical Services |
2693 |
Total Medical Submitted Charge Amount |
660635 |
Total Medical Medicare Allowed Amount |
293081.58 |
Total Medical Medicare Payment Amount |
216660.81 |
Total Medical Medicare Standardized Payment Amount |
212862.17 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
428 |
Number Of Beneficiaries Age 65 to 74 |
800 |
Number Of Beneficiaries Age 75 to 84 |
866 |
Number Of Beneficiaries Age Greater 84 |
599 |
Number Of Female Beneficiaries |
1375 |
Number Of Male Beneficiaries |
1318 |
Number Of Non Hispanic White Beneficiaries |
2209 |
Number Of Black or African American Beneficiaries |
186 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
242 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
1804 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
889 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9095 |