National Provider Identifier [NPI]: |
1568452282 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
EMILY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
0 EMERSON PL |
Street Address 2 Of The Provider |
SUITE 3B |
City Of The Provider |
BOSTON |
Zip Code Of The Provider |
021142241 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
813 |
Number Of Medicare Beneficiaries |
708 |
Total Submitted Charge Amount |
378127 |
Total Medicare Allowed Amount |
110427.37 |
Total Medicare Payment Amount |
84730.19 |
Total Medicare Standardized Payment Amount |
82730.31 |
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 |
39 |
Number Of Medical Services |
813 |
Number Of Medicare Beneficiaries With Medical Services |
708 |
Total Medical Submitted Charge Amount |
378127 |
Total Medical Medicare Allowed Amount |
110427.37 |
Total Medical Medicare Payment Amount |
84730.19 |
Total Medical Medicare Standardized Payment Amount |
82730.31 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
218 |
Number Of Beneficiaries Age 65 to 74 |
205 |
Number Of Beneficiaries Age 75 to 84 |
183 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
352 |
Number Of Male Beneficiaries |
356 |
Number Of Non Hispanic White Beneficiaries |
599 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
390 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
318 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.3086 |