Medicare Facts for Dr. Anita L. Bourque, MD


National Provider Identifier [NPI]: 1730166109
Last Name Of The Provider BOURQUE
First Name Of The Provider ANITA
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 100 GRAND ST
Street Address 2 Of The Provider
City Of The Provider NEW BRITAIN
Zip Code Of The Provider 060522016
State Code Of The Provider CT
Country Code Of The Provider US
Provider Type Of The Provider Diagnostic Radiology
Medicare Participation Indicator Y
Number Of HCPCS 220
Number Of Services 14602
Number Of Medicare Beneficiaries 2414
Total Submitted Charge Amount 915297.01
Total Medicare Allowed Amount 256511.82
Total Medicare Payment Amount 194185.75
Total Medicare Standardized Payment Amount 180819.81
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 11023
Number Of Medicare Beneficiaries With Drug Services 128
Total Drug Submitted ChargeAmount 11853
Total Drug Medicare AllowedAmount 3347.95
Total Drug Medicare PaymentAmount 2601.18
Total Drug Medicare Standardized Payment Amount 2601.18
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 216
Number Of Medical Services 3579
Number Of Medicare Beneficiaries With Medical Services 2413
Total Medical Submitted Charge Amount 903444.01
Total Medical Medicare Allowed Amount 253163.87
Total Medical Medicare Payment Amount 191584.57
Total Medical Medicare Standardized Payment Amount 178218.63
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 429
Number Of Beneficiaries Age 65 to 74 762
Number Of Beneficiaries Age 75 to 84 722
Number Of Beneficiaries Age Greater 84 501
Number Of Female Beneficiaries 1537
Number Of Male Beneficiaries 877
Number Of Non Hispanic White Beneficiaries 2009
Number Of Black or African American Beneficiaries 119
Number Of AsianPacific Islander Beneficiaries 33
Number Of Hispanic Beneficiaries 229
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 24
Number Of Beneficiaries With Medicare Only Entitlement 1492
Number Of Beneficiaries With Medicare Medicaid Entitlement 922
Percent Of With Atrial Fibrillation 18
Percent Of With Alzheimers Disease or Dementia 16
Percent Of With Asthma 13
Percent Of With Cancer 16
Percent Of With Heart Failure 30
Percent Of With Chronic Kidney Disease 34
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 29
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 45
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.7075

Doctor Directory | TOS | twitter | FB | Angel | blog