National Provider Identifier [NPI]: |
1902891435 |
Last Name Of The Provider |
WALEK |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
242 GREEN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
GARDNER |
Zip Code Of The Provider |
014401336 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Sleep Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
3074 |
Number Of Medicare Beneficiaries |
416 |
Total Submitted Charge Amount |
259540 |
Total Medicare Allowed Amount |
151177.34 |
Total Medicare Payment Amount |
114442.21 |
Total Medicare Standardized Payment Amount |
110353.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2112 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
63955 |
Total Drug Medicare AllowedAmount |
56392.36 |
Total Drug Medicare PaymentAmount |
44480.63 |
Total Drug Medicare Standardized Payment Amount |
44480.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
962 |
Number Of Medicare Beneficiaries With Medical Services |
416 |
Total Medical Submitted Charge Amount |
195585 |
Total Medical Medicare Allowed Amount |
94784.98 |
Total Medical Medicare Payment Amount |
69961.58 |
Total Medical Medicare Standardized Payment Amount |
65872.4 |
Average Age Of Beneficiaries |
63 |
Number Of Beneficiaries Age Less65 |
178 |
Number Of Beneficiaries Age 65 to 74 |
177 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
245 |
Number Of Male Beneficiaries |
171 |
Number Of Non Hispanic White Beneficiaries |
337 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
65 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
227 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
189 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3875 |