National Provider Identifier [NPI]: |
1912993478 |
Last Name Of The Provider |
GORSKI |
First Name Of The Provider |
ALLISON |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
480 HAWTHORN ST |
Street Address 2 Of The Provider |
STE 201 |
City Of The Provider |
N DARTMOUTH |
Zip Code Of The Provider |
027473713 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
5232 |
Number Of Medicare Beneficiaries |
828 |
Total Submitted Charge Amount |
1914610 |
Total Medicare Allowed Amount |
490848.96 |
Total Medicare Payment Amount |
355151.09 |
Total Medicare Standardized Payment Amount |
345426.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
97 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
1180 |
Total Drug Medicare AllowedAmount |
668.24 |
Total Drug Medicare PaymentAmount |
523.89 |
Total Drug Medicare Standardized Payment Amount |
523.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
5135 |
Number Of Medicare Beneficiaries With Medical Services |
828 |
Total Medical Submitted Charge Amount |
1913430 |
Total Medical Medicare Allowed Amount |
490180.72 |
Total Medical Medicare Payment Amount |
354627.2 |
Total Medical Medicare Standardized Payment Amount |
344902.15 |
Average Age Of Beneficiaries |
60 |
Number Of Beneficiaries Age Less65 |
538 |
Number Of Beneficiaries Age 65 to 74 |
180 |
Number Of Beneficiaries Age 75 to 84 |
79 |
Number Of Beneficiaries Age Greater 84 |
31 |
Number Of Female Beneficiaries |
515 |
Number Of Male Beneficiaries |
313 |
Number Of Non Hispanic White Beneficiaries |
700 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
69 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
307 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
521 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
49 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
66 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.4445 |