National Provider Identifier [NPI]: |
1528037694 |
Last Name Of The Provider |
HILL |
First Name Of The Provider |
REBECCA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
230 WORCESTER ST |
Street Address 2 Of The Provider |
INTERNAL MEDICINE |
City Of The Provider |
WELLESLEY |
Zip Code Of The Provider |
024815420 |
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 |
86 |
Number Of Services |
814 |
Number Of Medicare Beneficiaries |
123 |
Total Submitted Charge Amount |
37871.03 |
Total Medicare Allowed Amount |
29157.57 |
Total Medicare Payment Amount |
24119.2 |
Total Medicare Standardized Payment Amount |
23149.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
76 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
3350.03 |
Total Drug Medicare AllowedAmount |
2227.58 |
Total Drug Medicare PaymentAmount |
2100.19 |
Total Drug Medicare Standardized Payment Amount |
2100.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
738 |
Number Of Medicare Beneficiaries With Medical Services |
123 |
Total Medical Submitted Charge Amount |
34521 |
Total Medical Medicare Allowed Amount |
26929.99 |
Total Medical Medicare Payment Amount |
22019.01 |
Total Medical Medicare Standardized Payment Amount |
21048.89 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
69 |
Number Of Beneficiaries Age 75 to 84 |
29 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
92 |
Number Of Male Beneficiaries |
31 |
Number Of Non Hispanic White Beneficiaries |
102 |
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 |
108 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
19 |
Percent Of With Diabetes |
13 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
44 |
Percent Of With Ischemic Heart Disease |
15 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8447 |