National Provider Identifier [NPI]: |
1033260468 |
Last Name Of The Provider |
DELBECCARO |
First Name Of The Provider |
MARIA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
363 HIGHLAND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FALL RIVER |
Zip Code Of The Provider |
027203703 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
332 |
Number Of Medicare Beneficiaries |
249 |
Total Submitted Charge Amount |
61175 |
Total Medicare Allowed Amount |
23491.6 |
Total Medicare Payment Amount |
15643.42 |
Total Medicare Standardized Payment Amount |
16570.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
51 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
1554 |
Total Drug Medicare AllowedAmount |
273.35 |
Total Drug Medicare PaymentAmount |
159.97 |
Total Drug Medicare Standardized Payment Amount |
159.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
281 |
Number Of Medicare Beneficiaries With Medical Services |
249 |
Total Medical Submitted Charge Amount |
59621 |
Total Medical Medicare Allowed Amount |
23218.25 |
Total Medical Medicare Payment Amount |
15483.45 |
Total Medical Medicare Standardized Payment Amount |
16410.61 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
87 |
Number Of Beneficiaries Age 75 to 84 |
49 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
157 |
Number Of Male Beneficiaries |
92 |
Number Of Non Hispanic White Beneficiaries |
213 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
167 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0593 |