National Provider Identifier [NPI]: |
1083614325 |
Last Name Of The Provider |
KAUFMAN |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
70 MAIN ST |
Street Address 2 Of The Provider |
NORTHAMPTON HEALTH CENTER |
City Of The Provider |
FLORENCE |
Zip Code Of The Provider |
010621466 |
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 |
188 |
Number Of Services |
6755 |
Number Of Medicare Beneficiaries |
1002 |
Total Submitted Charge Amount |
630569 |
Total Medicare Allowed Amount |
259593.04 |
Total Medicare Payment Amount |
206238.37 |
Total Medicare Standardized Payment Amount |
202349.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
413 |
Number Of Medicare Beneficiaries With Drug Services |
269 |
Total Drug Submitted ChargeAmount |
13746 |
Total Drug Medicare AllowedAmount |
8184.88 |
Total Drug Medicare PaymentAmount |
7789.61 |
Total Drug Medicare Standardized Payment Amount |
7789.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
166 |
Number Of Medical Services |
6342 |
Number Of Medicare Beneficiaries With Medical Services |
997 |
Total Medical Submitted Charge Amount |
616823 |
Total Medical Medicare Allowed Amount |
251408.16 |
Total Medical Medicare Payment Amount |
198448.76 |
Total Medical Medicare Standardized Payment Amount |
194560.14 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
234 |
Number Of Beneficiaries Age 65 to 74 |
447 |
Number Of Beneficiaries Age 75 to 84 |
206 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
620 |
Number Of Male Beneficiaries |
382 |
Number Of Non Hispanic White Beneficiaries |
925 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
711 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
291 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0926 |