National Provider Identifier [NPI]: |
1326035023 |
Last Name Of The Provider |
PRESSMAN |
First Name Of The Provider |
MITCHELL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
450 VETERANS MEMORIAL PKWY |
Street Address 2 Of The Provider |
BUILDING 6 |
City Of The Provider |
EAST PROVIDENCE |
Zip Code Of The Provider |
029145300 |
State Code Of The Provider |
RI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
1262 |
Number Of Medicare Beneficiaries |
264 |
Total Submitted Charge Amount |
125006.5 |
Total Medicare Allowed Amount |
82299.32 |
Total Medicare Payment Amount |
59490.87 |
Total Medicare Standardized Payment Amount |
58124.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
82 |
Number Of Medicare Beneficiaries With Drug Services |
67 |
Total Drug Submitted ChargeAmount |
1741.5 |
Total Drug Medicare AllowedAmount |
1126.46 |
Total Drug Medicare PaymentAmount |
1089.55 |
Total Drug Medicare Standardized Payment Amount |
1089.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
1180 |
Number Of Medicare Beneficiaries With Medical Services |
264 |
Total Medical Submitted Charge Amount |
123265 |
Total Medical Medicare Allowed Amount |
81172.86 |
Total Medical Medicare Payment Amount |
58401.32 |
Total Medical Medicare Standardized Payment Amount |
57035.05 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
144 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
133 |
Number Of Male Beneficiaries |
131 |
Number Of Non Hispanic White Beneficiaries |
247 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
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 |
11 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9418 |