| National Provider Identifier [NPI]: | 1720115355 |
| Last Name Of The Provider | MASESSA |
| First Name Of The Provider | JOSEPH |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 35 GREEN POND RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | ROCKAWAY |
| Zip Code Of The Provider | 078662013 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 129 |
| Number Of Services | 18816 |
| Number Of Medicare Beneficiaries | 2484 |
| Total Submitted Charge Amount | 5648845 |
| Total Medicare Allowed Amount | 1911675.89 |
| Total Medicare Payment Amount | 1477508.02 |
| Total Medicare Standardized Payment Amount | 1235113.13 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 227 |
| Number Of Medicare Beneficiaries With Drug Services | 146 |
| Total Drug Submitted ChargeAmount | 36246 |
| Total Drug Medicare AllowedAmount | 19978.14 |
| Total Drug Medicare PaymentAmount | 15662.64 |
| Total Drug Medicare Standardized Payment Amount | 15662.64 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 127 |
| Number Of Medical Services | 18589 |
| Number Of Medicare Beneficiaries With Medical Services | 2484 |
| Total Medical Submitted Charge Amount | 5612599 |
| Total Medical Medicare Allowed Amount | 1891697.75 |
| Total Medical Medicare Payment Amount | 1461845.38 |
| Total Medical Medicare Standardized Payment Amount | 1219450.49 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 170 |
| Number Of Beneficiaries Age 65 to 74 | 1320 |
| Number Of Beneficiaries Age 75 to 84 | 727 |
| Number Of Beneficiaries Age Greater 84 | 267 |
| Number Of Female Beneficiaries | 1302 |
| Number Of Male Beneficiaries | 1182 |
| Number Of Non Hispanic White Beneficiaries | 2292 |
| Number Of Black or African American Beneficiaries | 30 |
| Number Of AsianPacific Islander Beneficiaries | 16 |
| Number Of Hispanic Beneficiaries | 120 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2298 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 186 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 17 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.05 |