National Provider Identifier [NPI]: |
1184690703 |
Last Name Of The Provider |
HAHN |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
777 NORTH ST |
Street Address 2 Of The Provider |
BFS CARDIOLOGY |
City Of The Provider |
PITTSFIELD |
Zip Code Of The Provider |
012014147 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
2086 |
Number Of Medicare Beneficiaries |
980 |
Total Submitted Charge Amount |
123727.44 |
Total Medicare Allowed Amount |
110563.73 |
Total Medicare Payment Amount |
84588.27 |
Total Medicare Standardized Payment Amount |
90347.35 |
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 |
55 |
Number Of Medical Services |
2086 |
Number Of Medicare Beneficiaries With Medical Services |
980 |
Total Medical Submitted Charge Amount |
123727.44 |
Total Medical Medicare Allowed Amount |
110563.73 |
Total Medical Medicare Payment Amount |
84588.27 |
Total Medical Medicare Standardized Payment Amount |
90347.35 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
113 |
Number Of Beneficiaries Age 65 to 74 |
247 |
Number Of Beneficiaries Age 75 to 84 |
348 |
Number Of Beneficiaries Age Greater 84 |
272 |
Number Of Female Beneficiaries |
427 |
Number Of Male Beneficiaries |
553 |
Number Of Non Hispanic White Beneficiaries |
937 |
Number Of Black or African American Beneficiaries |
23 |
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 |
772 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
208 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7701 |