National Provider Identifier [NPI]: |
1417937939 |
Last Name Of The Provider |
GALVIN |
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 |
275 SANDWICH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PLYMOUTH |
Zip Code Of The Provider |
023602183 |
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 |
196 |
Number Of Services |
6325 |
Number Of Medicare Beneficiaries |
3429 |
Total Submitted Charge Amount |
709546 |
Total Medicare Allowed Amount |
222770.56 |
Total Medicare Payment Amount |
167115.87 |
Total Medicare Standardized Payment Amount |
167709.32 |
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 |
196 |
Number Of Medical Services |
6325 |
Number Of Medicare Beneficiaries With Medical Services |
3429 |
Total Medical Submitted Charge Amount |
709546 |
Total Medical Medicare Allowed Amount |
222770.56 |
Total Medical Medicare Payment Amount |
167115.87 |
Total Medical Medicare Standardized Payment Amount |
167709.32 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
514 |
Number Of Beneficiaries Age 65 to 74 |
1329 |
Number Of Beneficiaries Age 75 to 84 |
953 |
Number Of Beneficiaries Age Greater 84 |
633 |
Number Of Female Beneficiaries |
2087 |
Number Of Male Beneficiaries |
1342 |
Number Of Non Hispanic White Beneficiaries |
3281 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
68 |
Number Of Beneficiaries With Medicare Only Entitlement |
2684 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
745 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4287 |