Medicare Facts for Susan Darby, LICSW


National Provider Identifier [NPI]: 1124100680
Last Name Of The Provider DARBY
First Name Of The Provider SUSAN
Middle Initial Of The Provider
Credentials Of The Provider LICSW
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 330 MOUNT AUBURN ST
Street Address 2 Of The Provider CLARK 1
City Of The Provider CAMBRIDGE
Zip Code Of The Provider 021385502
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider Licensed Clinical Social Worker
Medicare Participation Indicator Y
Number Of HCPCS 3
Number Of Services 205
Number Of Medicare Beneficiaries 16
Total Submitted Charge Amount 23971
Total Medicare Allowed Amount 13596.46
Total Medicare Payment Amount 10478.93
Total Medicare Standardized Payment Amount 10233.65
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 3
Number Of Medical Services 205
Number Of Medicare Beneficiaries With Medical Services 16
Total Medical Submitted Charge Amount 23971
Total Medical Medicare Allowed Amount 13596.46
Total Medical Medicare Payment Amount 10478.93
Total Medical Medicare Standardized Payment Amount 10233.65
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 16
Number Of Male Beneficiaries 0
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 0
Percent Of With Alzheimers Disease or Dementia 0
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease 0
Percent Of With Depression 75
Percent Of With Diabetes
Percent Of With Hyperlipidemia
Percent Of With Hypertension
Percent Of With Ischemic Heart Disease
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis
Percent Of With Schizophrenia Other PsychoticDisorders 0
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0681

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