National Provider Identifier [NPI]: |
1841281953 |
Last Name Of The Provider |
BLECHMAN |
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 |
65 SOCKANOSSET CROSSROADS |
Street Address 2 Of The Provider |
|
City Of The Provider |
CRANSTON |
Zip Code Of The Provider |
029206068 |
State Code Of The Provider |
RI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
207 |
Number Of Services |
9905 |
Number Of Medicare Beneficiaries |
3993 |
Total Submitted Charge Amount |
1194514.2 |
Total Medicare Allowed Amount |
256617.8 |
Total Medicare Payment Amount |
202241.8 |
Total Medicare Standardized Payment Amount |
198967.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2939 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
3361.2 |
Total Drug Medicare AllowedAmount |
913.92 |
Total Drug Medicare PaymentAmount |
716.5 |
Total Drug Medicare Standardized Payment Amount |
716.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
204 |
Number Of Medical Services |
6966 |
Number Of Medicare Beneficiaries With Medical Services |
3993 |
Total Medical Submitted Charge Amount |
1191153 |
Total Medical Medicare Allowed Amount |
255703.88 |
Total Medical Medicare Payment Amount |
201525.3 |
Total Medical Medicare Standardized Payment Amount |
198251.46 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
820 |
Number Of Beneficiaries Age 65 to 74 |
1394 |
Number Of Beneficiaries Age 75 to 84 |
961 |
Number Of Beneficiaries Age Greater 84 |
818 |
Number Of Female Beneficiaries |
2679 |
Number Of Male Beneficiaries |
1314 |
Number Of Non Hispanic White Beneficiaries |
3692 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
143 |
Number Of American Indian Alaska Native Beneficiaries |
19 |
Number Of Beneficiaries With Race Not Else where Classified |
56 |
Number Of Beneficiaries With Medicare Only Entitlement |
2896 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1097 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.569 |