National Provider Identifier [NPI]: |
1659306645 |
Last Name Of The Provider |
ROBINSON |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
SUITE 410 |
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
011071270 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
2460 |
Number Of Medicare Beneficiaries |
1671 |
Total Submitted Charge Amount |
429658 |
Total Medicare Allowed Amount |
150534.92 |
Total Medicare Payment Amount |
114091.92 |
Total Medicare Standardized Payment Amount |
113869.18 |
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 |
47 |
Number Of Medical Services |
2460 |
Number Of Medicare Beneficiaries With Medical Services |
1671 |
Total Medical Submitted Charge Amount |
429658 |
Total Medical Medicare Allowed Amount |
150534.92 |
Total Medical Medicare Payment Amount |
114091.92 |
Total Medical Medicare Standardized Payment Amount |
113869.18 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
416 |
Number Of Beneficiaries Age 65 to 74 |
503 |
Number Of Beneficiaries Age 75 to 84 |
417 |
Number Of Beneficiaries Age Greater 84 |
335 |
Number Of Female Beneficiaries |
832 |
Number Of Male Beneficiaries |
839 |
Number Of Non Hispanic White Beneficiaries |
1314 |
Number Of Black or African American Beneficiaries |
122 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
206 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
979 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
692 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.0445 |