National Provider Identifier [NPI]: |
1851353551 |
Last Name Of The Provider |
TSANG |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
363 HIGHLAND AVE |
Street Address 2 Of The Provider |
CHARLTON MEMORIAL HOSPITAL - EMERGENCY DEPARTMENT |
City Of The Provider |
FALL RIVER |
Zip Code Of The Provider |
027203703 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
1038 |
Number Of Medicare Beneficiaries |
794 |
Total Submitted Charge Amount |
466207 |
Total Medicare Allowed Amount |
136301.59 |
Total Medicare Payment Amount |
104452.83 |
Total Medicare Standardized Payment Amount |
103698.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
1038 |
Number Of Medicare Beneficiaries With Medical Services |
794 |
Total Medical Submitted Charge Amount |
466207 |
Total Medical Medicare Allowed Amount |
136301.59 |
Total Medical Medicare Payment Amount |
104452.83 |
Total Medical Medicare Standardized Payment Amount |
103698.81 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
198 |
Number Of Beneficiaries Age 65 to 74 |
210 |
Number Of Beneficiaries Age 75 to 84 |
182 |
Number Of Beneficiaries Age Greater 84 |
204 |
Number Of Female Beneficiaries |
437 |
Number Of Male Beneficiaries |
357 |
Number Of Non Hispanic White Beneficiaries |
732 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
446 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
348 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.0453 |