National Provider Identifier [NPI]: |
1265436208 |
Last Name Of The Provider |
CUENI |
First Name Of The Provider |
LORENZ |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
147 COURT STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
PLYMOUTH |
Zip Code Of The Provider |
02360 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
2073 |
Number Of Medicare Beneficiaries |
1281 |
Total Submitted Charge Amount |
274520 |
Total Medicare Allowed Amount |
57411.22 |
Total Medicare Payment Amount |
43991.08 |
Total Medicare Standardized Payment Amount |
42756.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
2073 |
Number Of Medicare Beneficiaries With Medical Services |
1281 |
Total Medical Submitted Charge Amount |
274520 |
Total Medical Medicare Allowed Amount |
57411.22 |
Total Medical Medicare Payment Amount |
43991.08 |
Total Medical Medicare Standardized Payment Amount |
42756.55 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
427 |
Number Of Beneficiaries Age 75 to 84 |
383 |
Number Of Beneficiaries Age Greater 84 |
314 |
Number Of Female Beneficiaries |
721 |
Number Of Male Beneficiaries |
560 |
Number Of Non Hispanic White Beneficiaries |
1226 |
Number Of Black or African American Beneficiaries |
21 |
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 |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
967 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
314 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.7399 |