National Provider Identifier [NPI]: |
1932123338 |
Last Name Of The Provider |
DUFFY |
First Name Of The Provider |
JOCELYN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
140 HAVERHILL ST |
Street Address 2 Of The Provider |
NEW ENGLAND MEDICAL GROUP |
City Of The Provider |
ANDOVER |
Zip Code Of The Provider |
01810 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
553 |
Number Of Medicare Beneficiaries |
159 |
Total Submitted Charge Amount |
135068 |
Total Medicare Allowed Amount |
45576.73 |
Total Medicare Payment Amount |
34780.54 |
Total Medicare Standardized Payment Amount |
34174.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
42 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
4486 |
Total Drug Medicare AllowedAmount |
1608.07 |
Total Drug Medicare PaymentAmount |
1447.58 |
Total Drug Medicare Standardized Payment Amount |
1447.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
511 |
Number Of Medicare Beneficiaries With Medical Services |
159 |
Total Medical Submitted Charge Amount |
130582 |
Total Medical Medicare Allowed Amount |
43968.66 |
Total Medical Medicare Payment Amount |
33332.96 |
Total Medical Medicare Standardized Payment Amount |
32726.94 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
84 |
Number Of Beneficiaries Age 75 to 84 |
39 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
121 |
Number Of Male Beneficiaries |
38 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
139 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
14 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
48 |
Percent Of With Ischemic Heart Disease |
13 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8412 |