National Provider Identifier [NPI]: |
1952382772 |
Last Name Of The Provider |
MACGINNIS |
First Name Of The Provider |
CHRISTINE |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
291 LINCOLN ST |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
WORCESTER |
Zip Code Of The Provider |
016053643 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
1220 |
Number Of Medicare Beneficiaries |
370 |
Total Submitted Charge Amount |
246537 |
Total Medicare Allowed Amount |
96745.9 |
Total Medicare Payment Amount |
73422.79 |
Total Medicare Standardized Payment Amount |
71641.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
79 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
4115 |
Total Drug Medicare AllowedAmount |
2047.47 |
Total Drug Medicare PaymentAmount |
2001.89 |
Total Drug Medicare Standardized Payment Amount |
2001.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
1141 |
Number Of Medicare Beneficiaries With Medical Services |
370 |
Total Medical Submitted Charge Amount |
242422 |
Total Medical Medicare Allowed Amount |
94698.43 |
Total Medical Medicare Payment Amount |
71420.9 |
Total Medical Medicare Standardized Payment Amount |
69639.28 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
101 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
117 |
Number Of Female Beneficiaries |
272 |
Number Of Male Beneficiaries |
98 |
Number Of Non Hispanic White Beneficiaries |
354 |
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 |
266 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
104 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.6137 |