National Provider Identifier [NPI]: |
1467417725 |
Last Name Of The Provider |
PAUL |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
330 BORTHWICK AVE |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
PORTSMOUTH |
Zip Code Of The Provider |
038014174 |
State Code Of The Provider |
NH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
3073 |
Number Of Medicare Beneficiaries |
571 |
Total Submitted Charge Amount |
536790.6 |
Total Medicare Allowed Amount |
229315.29 |
Total Medicare Payment Amount |
173772.86 |
Total Medicare Standardized Payment Amount |
171769.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
75 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
1072.6 |
Total Drug Medicare AllowedAmount |
1010.87 |
Total Drug Medicare PaymentAmount |
958.92 |
Total Drug Medicare Standardized Payment Amount |
958.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
2998 |
Number Of Medicare Beneficiaries With Medical Services |
571 |
Total Medical Submitted Charge Amount |
535718 |
Total Medical Medicare Allowed Amount |
228304.42 |
Total Medical Medicare Payment Amount |
172813.94 |
Total Medical Medicare Standardized Payment Amount |
170810.16 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
267 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
79 |
Number Of Female Beneficiaries |
271 |
Number Of Male Beneficiaries |
300 |
Number Of Non Hispanic White Beneficiaries |
557 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
553 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.002 |