National Provider Identifier [NPI]: |
1104873835 |
Last Name Of The Provider |
TOPOLEWSKI |
First Name Of The Provider |
CAROL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
253 PLEASANT LAKE AVE |
Street Address 2 Of The Provider |
ROUTE 124 |
City Of The Provider |
HARWICH |
Zip Code Of The Provider |
026452535 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
3456 |
Number Of Medicare Beneficiaries |
546 |
Total Submitted Charge Amount |
440671.67 |
Total Medicare Allowed Amount |
304592.8 |
Total Medicare Payment Amount |
226884.25 |
Total Medicare Standardized Payment Amount |
221419.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
457.32 |
Total Drug Medicare AllowedAmount |
289.86 |
Total Drug Medicare PaymentAmount |
248.91 |
Total Drug Medicare Standardized Payment Amount |
248.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
3433 |
Number Of Medicare Beneficiaries With Medical Services |
546 |
Total Medical Submitted Charge Amount |
440214.35 |
Total Medical Medicare Allowed Amount |
304302.94 |
Total Medical Medicare Payment Amount |
226635.34 |
Total Medical Medicare Standardized Payment Amount |
221170.7 |
Average Age Of Beneficiaries |
81 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
152 |
Number Of Beneficiaries Age 75 to 84 |
159 |
Number Of Beneficiaries Age Greater 84 |
222 |
Number Of Female Beneficiaries |
358 |
Number Of Male Beneficiaries |
188 |
Number Of Non Hispanic White Beneficiaries |
524 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
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 |
413 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
133 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
26 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6056 |