Medicare Facts for Dr. Justin J. Gould, MD


National Provider Identifier [NPI]: 1134272560
Last Name Of The Provider GOULD
First Name Of The Provider JUSTIN
Middle Initial Of The Provider J
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2100 DORCHESTER AVE
Street Address 2 Of The Provider SUITE 2206
City Of The Provider DORCHESTER CENTER
Zip Code Of The Provider 021245615
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider Urology
Medicare Participation Indicator Y
Number Of HCPCS 90
Number Of Services 2913
Number Of Medicare Beneficiaries 570
Total Submitted Charge Amount 1050222
Total Medicare Allowed Amount 282779.84
Total Medicare Payment Amount 211087.84
Total Medicare Standardized Payment Amount 201153.66
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 550
Number Of Medicare Beneficiaries With Drug Services 32
Total Drug Submitted ChargeAmount 74815
Total Drug Medicare AllowedAmount 23456.45
Total Drug Medicare PaymentAmount 18251.51
Total Drug Medicare Standardized Payment Amount 18251.51
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 84
Number Of Medical Services 2363
Number Of Medicare Beneficiaries With Medical Services 570
Total Medical Submitted Charge Amount 975407
Total Medical Medicare Allowed Amount 259323.39
Total Medical Medicare Payment Amount 192836.33
Total Medical Medicare Standardized Payment Amount 182902.15
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 52
Number Of Beneficiaries Age 65 to 74 218
Number Of Beneficiaries Age 75 to 84 182
Number Of Beneficiaries Age Greater 84 118
Number Of Female Beneficiaries 227
Number Of Male Beneficiaries 343
Number Of Non Hispanic White Beneficiaries 496
Number Of Black or African American Beneficiaries 53
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 490
Number Of Beneficiaries With Medicare Medicaid Entitlement 80
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 18
Percent Of With Asthma 9
Percent Of With Cancer 22
Percent Of With Heart Failure 25
Percent Of With Chronic Kidney Disease 35
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 29
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 60
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders 6
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.4788

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