National Provider Identifier [NPI]: |
1528025996 |
Last Name Of The Provider |
SOLOMON |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
75 FRANCIS ST PBB1 |
Street Address 2 Of The Provider |
BRIGHAM AND WOMENS HOSPITAL CARDIOVASCULAR DIVISION |
City Of The Provider |
BOSTON |
Zip Code Of The Provider |
02115 |
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 |
11 |
Number Of Services |
1234 |
Number Of Medicare Beneficiaries |
1007 |
Total Submitted Charge Amount |
157138 |
Total Medicare Allowed Amount |
43533.92 |
Total Medicare Payment Amount |
32969.26 |
Total Medicare Standardized Payment Amount |
31339.66 |
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 |
11 |
Number Of Medical Services |
1234 |
Number Of Medicare Beneficiaries With Medical Services |
1007 |
Total Medical Submitted Charge Amount |
157138 |
Total Medical Medicare Allowed Amount |
43533.92 |
Total Medical Medicare Payment Amount |
32969.26 |
Total Medical Medicare Standardized Payment Amount |
31339.66 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
165 |
Number Of Beneficiaries Age 65 to 74 |
403 |
Number Of Beneficiaries Age 75 to 84 |
294 |
Number Of Beneficiaries Age Greater 84 |
145 |
Number Of Female Beneficiaries |
513 |
Number Of Male Beneficiaries |
494 |
Number Of Non Hispanic White Beneficiaries |
836 |
Number Of Black or African American Beneficiaries |
85 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
57 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
767 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
240 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.0034 |