National Provider Identifier [NPI]: |
1225110448 |
Last Name Of The Provider |
BOHART |
First Name Of The Provider |
ZACHARY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
632 MASSACHUSETTS AVE |
Street Address 2 Of The Provider |
#406 |
City Of The Provider |
CAMBRIDGE |
Zip Code Of The Provider |
021393327 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
95605 |
Number Of Medicare Beneficiaries |
461 |
Total Submitted Charge Amount |
1407951 |
Total Medicare Allowed Amount |
804361.34 |
Total Medicare Payment Amount |
625819.92 |
Total Medicare Standardized Payment Amount |
612442.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
93470 |
Number Of Medicare Beneficiaries With Drug Services |
163 |
Total Drug Submitted ChargeAmount |
892585 |
Total Drug Medicare AllowedAmount |
600127.93 |
Total Drug Medicare PaymentAmount |
470496.88 |
Total Drug Medicare Standardized Payment Amount |
470496.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
2135 |
Number Of Medicare Beneficiaries With Medical Services |
461 |
Total Medical Submitted Charge Amount |
515366 |
Total Medical Medicare Allowed Amount |
204233.41 |
Total Medical Medicare Payment Amount |
155323.04 |
Total Medical Medicare Standardized Payment Amount |
141945.73 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
151 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
232 |
Number Of Male Beneficiaries |
229 |
Number Of Non Hispanic White Beneficiaries |
410 |
Number Of Black or African American Beneficiaries |
25 |
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 |
280 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
181 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
35 |
Average HCC Risk Score Of Beneficiaries |
1.9561 |