National Provider Identifier [NPI]: |
1518932128 |
Last Name Of The Provider |
OSBORN |
First Name Of The Provider |
FRANK |
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 |
170 MAIN ST |
Street Address 2 Of The Provider |
G05 |
City Of The Provider |
TEWKSBURY |
Zip Code Of The Provider |
018761765 |
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 |
46 |
Number Of Services |
917 |
Number Of Medicare Beneficiaries |
230 |
Total Submitted Charge Amount |
157505.58 |
Total Medicare Allowed Amount |
66891.79 |
Total Medicare Payment Amount |
50500.1 |
Total Medicare Standardized Payment Amount |
47885.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
112 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
12300.12 |
Total Drug Medicare AllowedAmount |
5780.73 |
Total Drug Medicare PaymentAmount |
5664.85 |
Total Drug Medicare Standardized Payment Amount |
5664.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
805 |
Number Of Medicare Beneficiaries With Medical Services |
230 |
Total Medical Submitted Charge Amount |
145205.46 |
Total Medical Medicare Allowed Amount |
61111.06 |
Total Medical Medicare Payment Amount |
44835.25 |
Total Medical Medicare Standardized Payment Amount |
42220.83 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
96 |
Number Of Beneficiaries Age 75 to 84 |
47 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
158 |
Number Of Male Beneficiaries |
72 |
Number Of Non Hispanic White Beneficiaries |
217 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
153 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
77 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9718 |