National Provider Identifier [NPI]: |
1487924445 |
Last Name Of The Provider |
JAMGOCHIAN |
First Name Of The Provider |
JULIE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
GNP-BC |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 LINDEN PONDS WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
HINGHAM |
Zip Code Of The Provider |
020433791 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
1862 |
Number Of Medicare Beneficiaries |
427 |
Total Submitted Charge Amount |
185842.3 |
Total Medicare Allowed Amount |
151265.79 |
Total Medicare Payment Amount |
115546.68 |
Total Medicare Standardized Payment Amount |
133171.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
17 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
543.74 |
Total Drug Medicare AllowedAmount |
543.58 |
Total Drug Medicare PaymentAmount |
532.67 |
Total Drug Medicare Standardized Payment Amount |
532.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
1845 |
Number Of Medicare Beneficiaries With Medical Services |
427 |
Total Medical Submitted Charge Amount |
185298.56 |
Total Medical Medicare Allowed Amount |
150722.21 |
Total Medical Medicare Payment Amount |
115014.01 |
Total Medical Medicare Standardized Payment Amount |
132638.85 |
Average Age Of Beneficiaries |
83 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
62 |
Number Of Beneficiaries Age 75 to 84 |
140 |
Number Of Beneficiaries Age Greater 84 |
210 |
Number Of Female Beneficiaries |
309 |
Number Of Male Beneficiaries |
118 |
Number Of Non Hispanic White Beneficiaries |
413 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
357 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
44 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
56 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
47 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1222 |