National Provider Identifier [NPI]: |
1356324297 |
Last Name Of The Provider |
COLZANI |
First Name Of The Provider |
RAFFAELLA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
55 LAKE AVE N |
Street Address 2 Of The Provider |
DEPARTMENT OF ENDOCRINOLOGY |
City Of The Provider |
WORCESTER |
Zip Code Of The Provider |
016550002 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
980 |
Number Of Medicare Beneficiaries |
213 |
Total Submitted Charge Amount |
139604.05 |
Total Medicare Allowed Amount |
69385.38 |
Total Medicare Payment Amount |
50532.49 |
Total Medicare Standardized Payment Amount |
48404.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
36 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
8909.05 |
Total Drug Medicare AllowedAmount |
2050.7 |
Total Drug Medicare PaymentAmount |
1613.12 |
Total Drug Medicare Standardized Payment Amount |
1613.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
944 |
Number Of Medicare Beneficiaries With Medical Services |
213 |
Total Medical Submitted Charge Amount |
130695 |
Total Medical Medicare Allowed Amount |
67334.68 |
Total Medical Medicare Payment Amount |
48919.37 |
Total Medical Medicare Standardized Payment Amount |
46791.3 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
98 |
Number Of Beneficiaries Age 75 to 84 |
52 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
152 |
Number Of Male Beneficiaries |
61 |
Number Of Non Hispanic White Beneficiaries |
185 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
159 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
54 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1377 |