National Provider Identifier [NPI]: |
1023078938 |
Last Name Of The Provider |
HOWARD |
First Name Of The Provider |
JACK |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
275 ALLEN STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW BEDFORD |
Zip Code Of The Provider |
02740 |
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 |
153 |
Number Of Services |
8106 |
Number Of Medicare Beneficiaries |
1008 |
Total Submitted Charge Amount |
1061585 |
Total Medicare Allowed Amount |
327931.04 |
Total Medicare Payment Amount |
248415.31 |
Total Medicare Standardized Payment Amount |
243128.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
511 |
Number Of Medicare Beneficiaries With Drug Services |
191 |
Total Drug Submitted ChargeAmount |
47543 |
Total Drug Medicare AllowedAmount |
15169.07 |
Total Drug Medicare PaymentAmount |
12877.26 |
Total Drug Medicare Standardized Payment Amount |
12877.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
141 |
Number Of Medical Services |
7595 |
Number Of Medicare Beneficiaries With Medical Services |
1008 |
Total Medical Submitted Charge Amount |
1014042 |
Total Medical Medicare Allowed Amount |
312761.97 |
Total Medical Medicare Payment Amount |
235538.05 |
Total Medical Medicare Standardized Payment Amount |
230251.04 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
321 |
Number Of Beneficiaries Age 75 to 84 |
287 |
Number Of Beneficiaries Age Greater 84 |
264 |
Number Of Female Beneficiaries |
494 |
Number Of Male Beneficiaries |
514 |
Number Of Non Hispanic White Beneficiaries |
870 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
69 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
697 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
311 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5574 |