National Provider Identifier [NPI]: |
1104927102 |
Last Name Of The Provider |
ASAKER |
First Name Of The Provider |
BAHIGE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1020 PLEASANT STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
BROCKTON |
Zip Code Of The Provider |
023015055 |
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 |
31 |
Number Of Services |
11322 |
Number Of Medicare Beneficiaries |
1097 |
Total Submitted Charge Amount |
1099015 |
Total Medicare Allowed Amount |
816105.91 |
Total Medicare Payment Amount |
621214.63 |
Total Medicare Standardized Payment Amount |
603211.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
156 |
Number Of Medicare Beneficiaries With Drug Services |
124 |
Total Drug Submitted ChargeAmount |
6305 |
Total Drug Medicare AllowedAmount |
3000.63 |
Total Drug Medicare PaymentAmount |
2914.83 |
Total Drug Medicare Standardized Payment Amount |
2914.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
11166 |
Number Of Medicare Beneficiaries With Medical Services |
1097 |
Total Medical Submitted Charge Amount |
1092710 |
Total Medical Medicare Allowed Amount |
813105.28 |
Total Medical Medicare Payment Amount |
618299.8 |
Total Medical Medicare Standardized Payment Amount |
600296.24 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
293 |
Number Of Beneficiaries Age 65 to 74 |
359 |
Number Of Beneficiaries Age 75 to 84 |
269 |
Number Of Beneficiaries Age Greater 84 |
176 |
Number Of Female Beneficiaries |
561 |
Number Of Male Beneficiaries |
536 |
Number Of Non Hispanic White Beneficiaries |
882 |
Number Of Black or African American Beneficiaries |
125 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
466 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
631 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.311 |