National Provider Identifier [NPI]: |
1295998227 |
Last Name Of The Provider |
SCHEINERT |
First Name Of The Provider |
JOCELYN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
41 MALL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BURLINGTON |
Zip Code Of The Provider |
018050001 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
145 |
Number Of Services |
7406.5 |
Number Of Medicare Beneficiaries |
1852 |
Total Submitted Charge Amount |
920327 |
Total Medicare Allowed Amount |
258752.45 |
Total Medicare Payment Amount |
210373.01 |
Total Medicare Standardized Payment Amount |
186272.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4257.5 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
5495 |
Total Drug Medicare AllowedAmount |
1542.82 |
Total Drug Medicare PaymentAmount |
1185.57 |
Total Drug Medicare Standardized Payment Amount |
1185.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
142 |
Number Of Medical Services |
3149 |
Number Of Medicare Beneficiaries With Medical Services |
1852 |
Total Medical Submitted Charge Amount |
914832 |
Total Medical Medicare Allowed Amount |
257209.63 |
Total Medical Medicare Payment Amount |
209187.44 |
Total Medical Medicare Standardized Payment Amount |
185087.34 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
750 |
Number Of Beneficiaries Age 75 to 84 |
648 |
Number Of Beneficiaries Age Greater 84 |
346 |
Number Of Female Beneficiaries |
1303 |
Number Of Male Beneficiaries |
549 |
Number Of Non Hispanic White Beneficiaries |
1407 |
Number Of Black or African American Beneficiaries |
201 |
Number Of AsianPacific Islander Beneficiaries |
103 |
Number Of Hispanic Beneficiaries |
89 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
52 |
Number Of Beneficiaries With Medicare Only Entitlement |
1619 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
233 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3924 |