National Provider Identifier [NPI]: |
1215923735 |
Last Name Of The Provider |
HILL |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
125 PARKER HILL AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROXBURY CROSSING |
Zip Code Of The Provider |
021202847 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
6092 |
Number Of Medicare Beneficiaries |
1029 |
Total Submitted Charge Amount |
1881018.65 |
Total Medicare Allowed Amount |
286777.87 |
Total Medicare Payment Amount |
219011.91 |
Total Medicare Standardized Payment Amount |
180553.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3078 |
Number Of Medicare Beneficiaries With Drug Services |
247 |
Total Drug Submitted ChargeAmount |
39275 |
Total Drug Medicare AllowedAmount |
3932.56 |
Total Drug Medicare PaymentAmount |
3083.18 |
Total Drug Medicare Standardized Payment Amount |
3083.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
3014 |
Number Of Medicare Beneficiaries With Medical Services |
1029 |
Total Medical Submitted Charge Amount |
1841743.65 |
Total Medical Medicare Allowed Amount |
282845.31 |
Total Medical Medicare Payment Amount |
215928.73 |
Total Medical Medicare Standardized Payment Amount |
177469.99 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
485 |
Number Of Beneficiaries Age 75 to 84 |
351 |
Number Of Beneficiaries Age Greater 84 |
119 |
Number Of Female Beneficiaries |
642 |
Number Of Male Beneficiaries |
387 |
Number Of Non Hispanic White Beneficiaries |
967 |
Number Of Black or African American Beneficiaries |
21 |
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 |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
941 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
88 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0806 |