National Provider Identifier [NPI]: |
1649359845 |
Last Name Of The Provider |
GITTZUS |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
510 NORTH STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
PITTSFIELD |
Zip Code Of The Provider |
01201 |
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 |
39 |
Number Of Services |
5502 |
Number Of Medicare Beneficiaries |
752 |
Total Submitted Charge Amount |
368003 |
Total Medicare Allowed Amount |
241311.68 |
Total Medicare Payment Amount |
173965.27 |
Total Medicare Standardized Payment Amount |
170335.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
260 |
Number Of Medicare Beneficiaries With Drug Services |
249 |
Total Drug Submitted ChargeAmount |
7135 |
Total Drug Medicare AllowedAmount |
4751.19 |
Total Drug Medicare PaymentAmount |
4544.07 |
Total Drug Medicare Standardized Payment Amount |
4544.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
5242 |
Number Of Medicare Beneficiaries With Medical Services |
750 |
Total Medical Submitted Charge Amount |
360868 |
Total Medical Medicare Allowed Amount |
236560.49 |
Total Medical Medicare Payment Amount |
169421.2 |
Total Medical Medicare Standardized Payment Amount |
165791.34 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
262 |
Number Of Beneficiaries Age 75 to 84 |
230 |
Number Of Beneficiaries Age Greater 84 |
125 |
Number Of Female Beneficiaries |
412 |
Number Of Male Beneficiaries |
340 |
Number Of Non Hispanic White Beneficiaries |
723 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
567 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
185 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9522 |