National Provider Identifier [NPI]: |
1497705065 |
Last Name Of The Provider |
TARPY |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 CONGRESS ST |
Street Address 2 Of The Provider |
3RD FLOOR |
City Of The Provider |
QUINCY |
Zip Code Of The Provider |
021690908 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
3481 |
Number Of Medicare Beneficiaries |
653 |
Total Submitted Charge Amount |
528230.01 |
Total Medicare Allowed Amount |
187982.98 |
Total Medicare Payment Amount |
147083.23 |
Total Medicare Standardized Payment Amount |
138902.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
155 |
Number Of Medicare Beneficiaries With Drug Services |
137 |
Total Drug Submitted ChargeAmount |
8233.01 |
Total Drug Medicare AllowedAmount |
4248.1 |
Total Drug Medicare PaymentAmount |
4160.76 |
Total Drug Medicare Standardized Payment Amount |
4160.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
3326 |
Number Of Medicare Beneficiaries With Medical Services |
653 |
Total Medical Submitted Charge Amount |
519997 |
Total Medical Medicare Allowed Amount |
183734.88 |
Total Medical Medicare Payment Amount |
142922.47 |
Total Medical Medicare Standardized Payment Amount |
134741.7 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
93 |
Number Of Beneficiaries Age 65 to 74 |
284 |
Number Of Beneficiaries Age 75 to 84 |
205 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
350 |
Number Of Male Beneficiaries |
303 |
Number Of Non Hispanic White Beneficiaries |
619 |
Number Of Black or African American Beneficiaries |
13 |
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 |
515 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
138 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
53 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6185 |