National Provider Identifier [NPI]: |
1699762815 |
Last Name Of The Provider |
SANTANA |
First Name Of The Provider |
AURORA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
54 COURT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
TAUNTON |
Zip Code Of The Provider |
027803201 |
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 |
56 |
Number Of Services |
5593 |
Number Of Medicare Beneficiaries |
697 |
Total Submitted Charge Amount |
484701 |
Total Medicare Allowed Amount |
261758.26 |
Total Medicare Payment Amount |
205286.82 |
Total Medicare Standardized Payment Amount |
194928.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
808 |
Number Of Medicare Beneficiaries With Drug Services |
405 |
Total Drug Submitted ChargeAmount |
46593 |
Total Drug Medicare AllowedAmount |
29185.59 |
Total Drug Medicare PaymentAmount |
28447.66 |
Total Drug Medicare Standardized Payment Amount |
28447.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
4785 |
Number Of Medicare Beneficiaries With Medical Services |
697 |
Total Medical Submitted Charge Amount |
438108 |
Total Medical Medicare Allowed Amount |
232572.67 |
Total Medical Medicare Payment Amount |
176839.16 |
Total Medical Medicare Standardized Payment Amount |
166480.44 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
307 |
Number Of Beneficiaries Age 75 to 84 |
207 |
Number Of Beneficiaries Age Greater 84 |
95 |
Number Of Female Beneficiaries |
524 |
Number Of Male Beneficiaries |
173 |
Number Of Non Hispanic White Beneficiaries |
609 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
66 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
554 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
143 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1089 |