National Provider Identifier [NPI]: |
1114985744 |
Last Name Of The Provider |
HANDLER |
First Name Of The Provider |
ALYSSA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
77 HERRICK ST |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
BEVERLY |
Zip Code Of The Provider |
019152734 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
3063 |
Number Of Medicare Beneficiaries |
250 |
Total Submitted Charge Amount |
126734 |
Total Medicare Allowed Amount |
96593.39 |
Total Medicare Payment Amount |
77164.88 |
Total Medicare Standardized Payment Amount |
76457.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
144 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
9889 |
Total Drug Medicare AllowedAmount |
7852.16 |
Total Drug Medicare PaymentAmount |
7675.52 |
Total Drug Medicare Standardized Payment Amount |
7675.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
2919 |
Number Of Medicare Beneficiaries With Medical Services |
250 |
Total Medical Submitted Charge Amount |
116845 |
Total Medical Medicare Allowed Amount |
88741.23 |
Total Medical Medicare Payment Amount |
69489.36 |
Total Medical Medicare Standardized Payment Amount |
68782.39 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
113 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
195 |
Number Of Male Beneficiaries |
55 |
Number Of Non Hispanic White Beneficiaries |
237 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
204 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0068 |