National Provider Identifier [NPI]: |
1134195191 |
Last Name Of The Provider |
MESSINA |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
535 FAUNCE CORNER ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTH DARTMOUTH |
Zip Code Of The Provider |
027472612 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
216 |
Number Of Services |
12222 |
Number Of Medicare Beneficiaries |
1231 |
Total Submitted Charge Amount |
1812084 |
Total Medicare Allowed Amount |
566772.54 |
Total Medicare Payment Amount |
447849.74 |
Total Medicare Standardized Payment Amount |
439173.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
999 |
Number Of Medicare Beneficiaries With Drug Services |
275 |
Total Drug Submitted ChargeAmount |
49948 |
Total Drug Medicare AllowedAmount |
11655.84 |
Total Drug Medicare PaymentAmount |
10060.58 |
Total Drug Medicare Standardized Payment Amount |
10060.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
196 |
Number Of Medical Services |
11223 |
Number Of Medicare Beneficiaries With Medical Services |
1231 |
Total Medical Submitted Charge Amount |
1762136 |
Total Medical Medicare Allowed Amount |
555116.7 |
Total Medical Medicare Payment Amount |
437789.16 |
Total Medical Medicare Standardized Payment Amount |
429113.37 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
169 |
Number Of Beneficiaries Age 65 to 74 |
416 |
Number Of Beneficiaries Age 75 to 84 |
356 |
Number Of Beneficiaries Age Greater 84 |
290 |
Number Of Female Beneficiaries |
702 |
Number Of Male Beneficiaries |
529 |
Number Of Non Hispanic White Beneficiaries |
1089 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
73 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
832 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
399 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
46 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7821 |