National Provider Identifier [NPI]: |
1609860857 |
Last Name Of The Provider |
RIGALI |
First Name Of The Provider |
LESLIE |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 BROOKSBY VILLAGE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
PEABODY |
Zip Code Of The Provider |
019601438 |
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 |
52 |
Number Of Services |
4356 |
Number Of Medicare Beneficiaries |
520 |
Total Submitted Charge Amount |
198422.45 |
Total Medicare Allowed Amount |
198296.83 |
Total Medicare Payment Amount |
148948.68 |
Total Medicare Standardized Payment Amount |
145399.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1089 |
Number Of Medicare Beneficiaries With Drug Services |
264 |
Total Drug Submitted ChargeAmount |
20144.87 |
Total Drug Medicare AllowedAmount |
20050.24 |
Total Drug Medicare PaymentAmount |
17406.94 |
Total Drug Medicare Standardized Payment Amount |
17406.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
3267 |
Number Of Medicare Beneficiaries With Medical Services |
520 |
Total Medical Submitted Charge Amount |
178277.58 |
Total Medical Medicare Allowed Amount |
178246.59 |
Total Medical Medicare Payment Amount |
131541.74 |
Total Medical Medicare Standardized Payment Amount |
127992.7 |
Average Age Of Beneficiaries |
86 |
Number Of Beneficiaries Age Less65 |
0 |
Number Of Beneficiaries Age 65 to 74 |
22 |
Number Of Beneficiaries Age 75 to 84 |
151 |
Number Of Beneficiaries Age Greater 84 |
347 |
Number Of Female Beneficiaries |
378 |
Number Of Male Beneficiaries |
142 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
28 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6227 |