National Provider Identifier [NPI]: |
1396940763 |
Last Name Of The Provider |
TAMEO |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
91 MONTVALE AVE |
Street Address 2 Of The Provider |
SUITE 208 |
City Of The Provider |
STONEHAM |
Zip Code Of The Provider |
021803623 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
138 |
Number Of Services |
2597 |
Number Of Medicare Beneficiaries |
1278 |
Total Submitted Charge Amount |
1306226.39 |
Total Medicare Allowed Amount |
388546.1 |
Total Medicare Payment Amount |
297194.98 |
Total Medicare Standardized Payment Amount |
280186.03 |
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 |
138 |
Number Of Medical Services |
2597 |
Number Of Medicare Beneficiaries With Medical Services |
1278 |
Total Medical Submitted Charge Amount |
1306226.39 |
Total Medical Medicare Allowed Amount |
388546.1 |
Total Medical Medicare Payment Amount |
297194.98 |
Total Medical Medicare Standardized Payment Amount |
280186.03 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
410 |
Number Of Beneficiaries Age 75 to 84 |
493 |
Number Of Beneficiaries Age Greater 84 |
284 |
Number Of Female Beneficiaries |
709 |
Number Of Male Beneficiaries |
569 |
Number Of Non Hispanic White Beneficiaries |
1224 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1036 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
242 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7489 |