| National Provider Identifier [NPI]: | 1801999230 |
| Last Name Of The Provider | LEVY |
| First Name Of The Provider | BRUCE |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 90 TER HEUN DR |
| Street Address 2 Of The Provider | SUITE 300 |
| City Of The Provider | FALMOUTH |
| Zip Code Of The Provider | 025402533 |
| State Code Of The Provider | MA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 59 |
| Number Of Services | 8425 |
| Number Of Medicare Beneficiaries | 2096 |
| Total Submitted Charge Amount | 1678012.18 |
| Total Medicare Allowed Amount | 667963.6 |
| Total Medicare Payment Amount | 501257.91 |
| Total Medicare Standardized Payment Amount | 486379.48 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 596 |
| Number Of Medicare Beneficiaries With Drug Services | 148 |
| Total Drug Submitted ChargeAmount | 33972 |
| Total Drug Medicare AllowedAmount | 31548.09 |
| Total Drug Medicare PaymentAmount | 24733.58 |
| Total Drug Medicare Standardized Payment Amount | 24733.58 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 58 |
| Number Of Medical Services | 7829 |
| Number Of Medicare Beneficiaries With Medical Services | 2096 |
| Total Medical Submitted Charge Amount | 1644040.18 |
| Total Medical Medicare Allowed Amount | 636415.51 |
| Total Medical Medicare Payment Amount | 476524.33 |
| Total Medical Medicare Standardized Payment Amount | 461645.9 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 126 |
| Number Of Beneficiaries Age 65 to 74 | 622 |
| Number Of Beneficiaries Age 75 to 84 | 814 |
| Number Of Beneficiaries Age Greater 84 | 534 |
| Number Of Female Beneficiaries | 1028 |
| Number Of Male Beneficiaries | 1068 |
| Number Of Non Hispanic White Beneficiaries | 1985 |
| Number Of Black or African American Beneficiaries | 43 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 20 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 29 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1834 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 262 |
| Percent Of With Atrial Fibrillation | 33 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 24 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.4963 |