National Provider Identifier [NPI]: |
1134100605 |
Last Name Of The Provider |
MASSON |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
430 MORTON PLANT ST |
Street Address 2 Of The Provider |
SUITE 405 |
City Of The Provider |
CLEARWATER |
Zip Code Of The Provider |
337563398 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
3118 |
Number Of Medicare Beneficiaries |
824 |
Total Submitted Charge Amount |
642927 |
Total Medicare Allowed Amount |
328468.64 |
Total Medicare Payment Amount |
251835.37 |
Total Medicare Standardized Payment Amount |
251574.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
27 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
4188 |
Total Drug Medicare AllowedAmount |
3097.15 |
Total Drug Medicare PaymentAmount |
3035.2 |
Total Drug Medicare Standardized Payment Amount |
3035.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
3091 |
Number Of Medicare Beneficiaries With Medical Services |
824 |
Total Medical Submitted Charge Amount |
638739 |
Total Medical Medicare Allowed Amount |
325371.49 |
Total Medical Medicare Payment Amount |
248800.17 |
Total Medical Medicare Standardized Payment Amount |
248539.72 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
255 |
Number Of Beneficiaries Age 75 to 84 |
297 |
Number Of Beneficiaries Age Greater 84 |
214 |
Number Of Female Beneficiaries |
480 |
Number Of Male Beneficiaries |
344 |
Number Of Non Hispanic White Beneficiaries |
772 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
708 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
54 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.2153 |