National Provider Identifier [NPI]: |
1316908650 |
Last Name Of The Provider |
PAASCHE |
First Name Of The Provider |
DENISE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
120 MAPLE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRATTLEBORO |
Zip Code Of The Provider |
053016818 |
State Code Of The Provider |
VT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
1091 |
Number Of Medicare Beneficiaries |
236 |
Total Submitted Charge Amount |
160541.22 |
Total Medicare Allowed Amount |
78937.07 |
Total Medicare Payment Amount |
59552.51 |
Total Medicare Standardized Payment Amount |
60150.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
100 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
2144.22 |
Total Drug Medicare AllowedAmount |
903.43 |
Total Drug Medicare PaymentAmount |
884.67 |
Total Drug Medicare Standardized Payment Amount |
884.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
991 |
Number Of Medicare Beneficiaries With Medical Services |
236 |
Total Medical Submitted Charge Amount |
158397 |
Total Medical Medicare Allowed Amount |
78033.64 |
Total Medical Medicare Payment Amount |
58667.84 |
Total Medical Medicare Standardized Payment Amount |
59266.24 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
112 |
Number Of Beneficiaries Age 75 to 84 |
53 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
198 |
Number Of Male Beneficiaries |
38 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
174 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
6 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
17 |
Percent Of With Hypertension |
34 |
Percent Of With Ischemic Heart Disease |
12 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8261 |