National Provider Identifier [NPI]: |
1265420442 |
Last Name Of The Provider |
BOND |
First Name Of The Provider |
ANDREA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2444 E MAIN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PORTSMOUTH |
Zip Code Of The Provider |
028714025 |
State Code Of The Provider |
RI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
1373 |
Number Of Medicare Beneficiaries |
339 |
Total Submitted Charge Amount |
241413.38 |
Total Medicare Allowed Amount |
100927.65 |
Total Medicare Payment Amount |
75193.44 |
Total Medicare Standardized Payment Amount |
72856.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
112 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
4171 |
Total Drug Medicare AllowedAmount |
2354.04 |
Total Drug Medicare PaymentAmount |
2169.5 |
Total Drug Medicare Standardized Payment Amount |
2169.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
1261 |
Number Of Medicare Beneficiaries With Medical Services |
339 |
Total Medical Submitted Charge Amount |
237242.38 |
Total Medical Medicare Allowed Amount |
98573.61 |
Total Medical Medicare Payment Amount |
73023.94 |
Total Medical Medicare Standardized Payment Amount |
70686.63 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
172 |
Number Of Beneficiaries Age 75 to 84 |
73 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
231 |
Number Of Male Beneficiaries |
108 |
Number Of Non Hispanic White Beneficiaries |
311 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
292 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9902 |