National Provider Identifier [NPI]: |
1851367247 |
Last Name Of The Provider |
CONNORS |
First Name Of The Provider |
JANINE |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 TER HEUN DRIVE |
Street Address 2 Of The Provider |
FALMOUTH HOSPITAL EMERGENCY DEPARTMENT |
City Of The Provider |
FALMOUTH |
Zip Code Of The Provider |
02540 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
1134 |
Number Of Medicare Beneficiaries |
940 |
Total Submitted Charge Amount |
285984 |
Total Medicare Allowed Amount |
130573.26 |
Total Medicare Payment Amount |
94719.33 |
Total Medicare Standardized Payment Amount |
93673.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
19 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
453 |
Total Drug Medicare AllowedAmount |
178.78 |
Total Drug Medicare PaymentAmount |
139.9 |
Total Drug Medicare Standardized Payment Amount |
139.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
1115 |
Number Of Medicare Beneficiaries With Medical Services |
940 |
Total Medical Submitted Charge Amount |
285531 |
Total Medical Medicare Allowed Amount |
130394.48 |
Total Medical Medicare Payment Amount |
94579.43 |
Total Medical Medicare Standardized Payment Amount |
93533.68 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
315 |
Number Of Beneficiaries Age 75 to 84 |
282 |
Number Of Beneficiaries Age Greater 84 |
207 |
Number Of Female Beneficiaries |
538 |
Number Of Male Beneficiaries |
402 |
Number Of Non Hispanic White Beneficiaries |
882 |
Number Of Black or African American Beneficiaries |
16 |
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 |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
750 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
190 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3766 |