National Provider Identifier [NPI]: |
1366489973 |
Last Name Of The Provider |
GARLAND |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
133 BROOKLINE AVE |
Street Address 2 Of The Provider |
INTERNAL MEDICINE |
City Of The Provider |
BOSTON |
Zip Code Of The Provider |
022153904 |
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 |
94 |
Number Of Services |
3144 |
Number Of Medicare Beneficiaries |
237 |
Total Submitted Charge Amount |
122322.03 |
Total Medicare Allowed Amount |
93882.16 |
Total Medicare Payment Amount |
75108.19 |
Total Medicare Standardized Payment Amount |
72446.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
89 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
4916.03 |
Total Drug Medicare AllowedAmount |
3597.32 |
Total Drug Medicare PaymentAmount |
3521.83 |
Total Drug Medicare Standardized Payment Amount |
3521.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
3055 |
Number Of Medicare Beneficiaries With Medical Services |
237 |
Total Medical Submitted Charge Amount |
117406 |
Total Medical Medicare Allowed Amount |
90284.84 |
Total Medical Medicare Payment Amount |
71586.36 |
Total Medical Medicare Standardized Payment Amount |
68925.02 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
137 |
Number Of Beneficiaries Age 75 to 84 |
61 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
109 |
Number Of Male Beneficiaries |
128 |
Number Of Non Hispanic White Beneficiaries |
50 |
Number Of Black or African American Beneficiaries |
159 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
183 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
54 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
6 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
20 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0974 |