National Provider Identifier [NPI]: |
1477663631 |
Last Name Of The Provider |
REISMAN |
First Name Of The Provider |
JOEL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
750 WASHINGTON ST |
Street Address 2 Of The Provider |
NE MEDICAL CENTER |
City Of The Provider |
BOSTON |
Zip Code Of The Provider |
021111526 |
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 |
19 |
Number Of Services |
2357 |
Number Of Medicare Beneficiaries |
977 |
Total Submitted Charge Amount |
821044 |
Total Medicare Allowed Amount |
340074.18 |
Total Medicare Payment Amount |
249021.14 |
Total Medicare Standardized Payment Amount |
230691.11 |
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 |
19 |
Number Of Medical Services |
2357 |
Number Of Medicare Beneficiaries With Medical Services |
977 |
Total Medical Submitted Charge Amount |
821044 |
Total Medical Medicare Allowed Amount |
340074.18 |
Total Medical Medicare Payment Amount |
249021.14 |
Total Medical Medicare Standardized Payment Amount |
230691.11 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
300 |
Number Of Beneficiaries Age 75 to 84 |
428 |
Number Of Beneficiaries Age Greater 84 |
223 |
Number Of Female Beneficiaries |
608 |
Number Of Male Beneficiaries |
369 |
Number Of Non Hispanic White Beneficiaries |
847 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
62 |
Number Of Beneficiaries With Medicare Only Entitlement |
685 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
292 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1466 |