National Provider Identifier [NPI]: |
1184623126 |
Last Name Of The Provider |
AKBARI |
First Name Of The Provider |
NANCY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
250 PARADISE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SWAMPSCOTT |
Zip Code Of The Provider |
019072948 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
579 |
Number Of Medicare Beneficiaries |
113 |
Total Submitted Charge Amount |
61437 |
Total Medicare Allowed Amount |
35329.79 |
Total Medicare Payment Amount |
26657.88 |
Total Medicare Standardized Payment Amount |
24966.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
50 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
1877 |
Total Drug Medicare AllowedAmount |
1104.98 |
Total Drug Medicare PaymentAmount |
1079.81 |
Total Drug Medicare Standardized Payment Amount |
1079.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
529 |
Number Of Medicare Beneficiaries With Medical Services |
113 |
Total Medical Submitted Charge Amount |
59560 |
Total Medical Medicare Allowed Amount |
34224.81 |
Total Medical Medicare Payment Amount |
25578.07 |
Total Medical Medicare Standardized Payment Amount |
23886.74 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
50 |
Number Of Beneficiaries Age 75 to 84 |
18 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
84 |
Number Of Male Beneficiaries |
29 |
Number Of Non Hispanic White Beneficiaries |
90 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
77 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
35 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
35 |
Percent Of With Hypertension |
40 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1789 |