National Provider Identifier [NPI]: |
1093906117 |
Last Name Of The Provider |
DANKERS |
First Name Of The Provider |
CHRISTIAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
55 FRUIT STREET |
Street Address 2 Of The Provider |
MASSACHUSETTS GENERAL HOSPITAL |
City Of The Provider |
BOSTON |
Zip Code Of The Provider |
02114 |
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 |
13 |
Number Of Services |
632 |
Number Of Medicare Beneficiaries |
214 |
Total Submitted Charge Amount |
202719 |
Total Medicare Allowed Amount |
60779.81 |
Total Medicare Payment Amount |
46884.97 |
Total Medicare Standardized Payment Amount |
45166.76 |
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 |
13 |
Number Of Medical Services |
632 |
Number Of Medicare Beneficiaries With Medical Services |
214 |
Total Medical Submitted Charge Amount |
202719 |
Total Medical Medicare Allowed Amount |
60779.81 |
Total Medical Medicare Payment Amount |
46884.97 |
Total Medical Medicare Standardized Payment Amount |
45166.76 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
43 |
Number Of Beneficiaries Age 75 to 84 |
50 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
137 |
Number Of Male Beneficiaries |
77 |
Number Of Non Hispanic White Beneficiaries |
153 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
125 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
89 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
50 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.4811 |