National Provider Identifier [NPI]: |
1477509206 |
Last Name Of The Provider |
CLAYMAN |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
ONE ESSEX CENTER DRIVE |
Street Address 2 Of The Provider |
LAHEY CLINIC PEABODY |
City Of The Provider |
PEABODY |
Zip Code Of The Provider |
01960 |
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 |
40 |
Number Of Services |
6061 |
Number Of Medicare Beneficiaries |
2796 |
Total Submitted Charge Amount |
573544 |
Total Medicare Allowed Amount |
161560.92 |
Total Medicare Payment Amount |
120505.04 |
Total Medicare Standardized Payment Amount |
118390.05 |
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 |
40 |
Number Of Medical Services |
6061 |
Number Of Medicare Beneficiaries With Medical Services |
2796 |
Total Medical Submitted Charge Amount |
573544 |
Total Medical Medicare Allowed Amount |
161560.92 |
Total Medical Medicare Payment Amount |
120505.04 |
Total Medical Medicare Standardized Payment Amount |
118390.05 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
312 |
Number Of Beneficiaries Age 65 to 74 |
912 |
Number Of Beneficiaries Age 75 to 84 |
905 |
Number Of Beneficiaries Age Greater 84 |
667 |
Number Of Female Beneficiaries |
1411 |
Number Of Male Beneficiaries |
1385 |
Number Of Non Hispanic White Beneficiaries |
2639 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
61 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
2334 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
462 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6123 |