| National Provider Identifier [NPI]: | 1073524229 |
| Last Name Of The Provider | LAVOIE |
| First Name Of The Provider | MARSHA |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | FAMILY PRACTICE |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 100 SOUTH ST |
| Street Address 2 Of The Provider | SUITE 108 |
| City Of The Provider | SOUTHBRIDGE |
| Zip Code Of The Provider | 015504051 |
| State Code Of The Provider | MA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 41 |
| Number Of Services | 1029 |
| Number Of Medicare Beneficiaries | 213 |
| Total Submitted Charge Amount | 127081.3 |
| Total Medicare Allowed Amount | 82306.36 |
| Total Medicare Payment Amount | 58411.84 |
| Total Medicare Standardized Payment Amount | 58248.87 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 9 |
| Number Of Drug Services | 149 |
| Number Of Medicare Beneficiaries With Drug Services | 91 |
| Total Drug Submitted ChargeAmount | 6796.3 |
| Total Drug Medicare AllowedAmount | 4995.67 |
| Total Drug Medicare PaymentAmount | 4861.68 |
| Total Drug Medicare Standardized Payment Amount | 4861.68 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 32 |
| Number Of Medical Services | 880 |
| Number Of Medicare Beneficiaries With Medical Services | 213 |
| Total Medical Submitted Charge Amount | 120285 |
| Total Medical Medicare Allowed Amount | 77310.69 |
| Total Medical Medicare Payment Amount | 53550.16 |
| Total Medical Medicare Standardized Payment Amount | 53387.19 |
| Average Age Of Beneficiaries | 59 |
| Number Of Beneficiaries Age Less65 | 121 |
| Number Of Beneficiaries Age 65 to 74 | 61 |
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 136 |
| Number Of Male Beneficiaries | 77 |
| Number Of Non Hispanic White Beneficiaries | 127 |
| Number Of Black or African American Beneficiaries | |
| 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 | |
| Number Of Beneficiaries With Medicare Only Entitlement | 62 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 151 |
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 18 |
| Percent Of With Depression | 43 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 38 |
| Percent Of With Hypertension | 55 |
| Percent Of With Ischemic Heart Disease | 16 |
| Percent Of With Osteoporosis | |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 31 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 1.0163 |