National Provider Identifier [NPI]: |
1376529842 |
Last Name Of The Provider |
ARVEDON |
First Name Of The Provider |
MARJORIE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
FNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
ONE BOSTON MEDICAL CENTER PLACE |
Street Address 2 Of The Provider |
BOSTON MEDICAL CENTER, YAWKEY ACC-4, MED-SURG SPECIALT |
City Of The Provider |
BOSTON |
Zip Code Of The Provider |
021182999 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
246 |
Number Of Medicare Beneficiaries |
136 |
Total Submitted Charge Amount |
13003.47 |
Total Medicare Allowed Amount |
11293.09 |
Total Medicare Payment Amount |
8076.08 |
Total Medicare Standardized Payment Amount |
9635.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
53 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
1813.47 |
Total Drug Medicare AllowedAmount |
1754.19 |
Total Drug Medicare PaymentAmount |
1719.1 |
Total Drug Medicare Standardized Payment Amount |
1719.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
193 |
Number Of Medicare Beneficiaries With Medical Services |
136 |
Total Medical Submitted Charge Amount |
11190 |
Total Medical Medicare Allowed Amount |
9538.9 |
Total Medical Medicare Payment Amount |
6356.98 |
Total Medical Medicare Standardized Payment Amount |
7916.49 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
80 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
87 |
Number Of Male Beneficiaries |
49 |
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 |
107 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
44 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8369 |