National Provider Identifier [NPI]: |
1245343540 |
Last Name Of The Provider |
TISCHLER |
First Name Of The Provider |
MARC |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
111 COLCHESTER AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BURLINGTON |
Zip Code Of The Provider |
054011473 |
State Code Of The Provider |
VT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
4379 |
Number Of Medicare Beneficiaries |
3185 |
Total Submitted Charge Amount |
1200113 |
Total Medicare Allowed Amount |
202755.38 |
Total Medicare Payment Amount |
150688.18 |
Total Medicare Standardized Payment Amount |
152270.21 |
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 |
28 |
Number Of Medical Services |
4379 |
Number Of Medicare Beneficiaries With Medical Services |
3185 |
Total Medical Submitted Charge Amount |
1200113 |
Total Medical Medicare Allowed Amount |
202755.38 |
Total Medical Medicare Payment Amount |
150688.18 |
Total Medical Medicare Standardized Payment Amount |
152270.21 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
382 |
Number Of Beneficiaries Age 65 to 74 |
1182 |
Number Of Beneficiaries Age 75 to 84 |
1074 |
Number Of Beneficiaries Age Greater 84 |
547 |
Number Of Female Beneficiaries |
1580 |
Number Of Male Beneficiaries |
1605 |
Number Of Non Hispanic White Beneficiaries |
3058 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
26 |
Number Of Beneficiaries With Race Not Else where Classified |
48 |
Number Of Beneficiaries With Medicare Only Entitlement |
2363 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
822 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5066 |