National Provider Identifier [NPI]: |
1942281902 |
Last Name Of The Provider |
MORLEY |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
50 STANIFORD ST |
Street Address 2 Of The Provider |
SUITE 600 |
City Of The Provider |
BOSTON |
Zip Code Of The Provider |
021142517 |
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 |
36 |
Number Of Services |
16124 |
Number Of Medicare Beneficiaries |
2245 |
Total Submitted Charge Amount |
10122236 |
Total Medicare Allowed Amount |
3515846.48 |
Total Medicare Payment Amount |
2713616.54 |
Total Medicare Standardized Payment Amount |
2670371.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
5559 |
Number Of Medicare Beneficiaries With Drug Services |
565 |
Total Drug Submitted ChargeAmount |
5326523 |
Total Drug Medicare AllowedAmount |
2570998.16 |
Total Drug Medicare PaymentAmount |
2012335.66 |
Total Drug Medicare Standardized Payment Amount |
2012335.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
10565 |
Number Of Medicare Beneficiaries With Medical Services |
2245 |
Total Medical Submitted Charge Amount |
4795713 |
Total Medical Medicare Allowed Amount |
944848.32 |
Total Medical Medicare Payment Amount |
701280.88 |
Total Medical Medicare Standardized Payment Amount |
658035.96 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
637 |
Number Of Beneficiaries Age 75 to 84 |
849 |
Number Of Beneficiaries Age Greater 84 |
676 |
Number Of Female Beneficiaries |
1276 |
Number Of Male Beneficiaries |
969 |
Number Of Non Hispanic White Beneficiaries |
2157 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
2079 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
166 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2817 |