National Provider Identifier [NPI]: |
1902807811 |
Last Name Of The Provider |
WASSERMAN |
First Name Of The Provider |
PETER |
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 |
248 PLEASANT ST |
Street Address 2 Of The Provider |
STE 1600 |
City Of The Provider |
CONCORD |
Zip Code Of The Provider |
033012588 |
State Code Of The Provider |
NH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
6241 |
Number Of Medicare Beneficiaries |
2299 |
Total Submitted Charge Amount |
1523827 |
Total Medicare Allowed Amount |
695771.08 |
Total Medicare Payment Amount |
483482.2 |
Total Medicare Standardized Payment Amount |
477080.9 |
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 |
37 |
Number Of Medical Services |
6241 |
Number Of Medicare Beneficiaries With Medical Services |
2299 |
Total Medical Submitted Charge Amount |
1523827 |
Total Medical Medicare Allowed Amount |
695771.08 |
Total Medical Medicare Payment Amount |
483482.2 |
Total Medical Medicare Standardized Payment Amount |
477080.9 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
962 |
Number Of Beneficiaries Age 75 to 84 |
815 |
Number Of Beneficiaries Age Greater 84 |
400 |
Number Of Female Beneficiaries |
1394 |
Number Of Male Beneficiaries |
905 |
Number Of Non Hispanic White Beneficiaries |
2246 |
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 |
41 |
Number Of Beneficiaries With Medicare Only Entitlement |
2143 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
156 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9436 |