National Provider Identifier [NPI]: |
1518917400 |
Last Name Of The Provider |
RUDMAN |
First Name Of The Provider |
NATHAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
27 PARK ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HYANNIS |
Zip Code Of The Provider |
026015230 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
1629 |
Number Of Medicare Beneficiaries |
1285 |
Total Submitted Charge Amount |
565285.88 |
Total Medicare Allowed Amount |
193662.27 |
Total Medicare Payment Amount |
147262.88 |
Total Medicare Standardized Payment Amount |
146519.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
54 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
1577.38 |
Total Drug Medicare AllowedAmount |
388.64 |
Total Drug Medicare PaymentAmount |
304.7 |
Total Drug Medicare Standardized Payment Amount |
304.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
1575 |
Number Of Medicare Beneficiaries With Medical Services |
1285 |
Total Medical Submitted Charge Amount |
563708.5 |
Total Medical Medicare Allowed Amount |
193273.63 |
Total Medical Medicare Payment Amount |
146958.18 |
Total Medical Medicare Standardized Payment Amount |
146214.92 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
243 |
Number Of Beneficiaries Age 65 to 74 |
346 |
Number Of Beneficiaries Age 75 to 84 |
369 |
Number Of Beneficiaries Age Greater 84 |
327 |
Number Of Female Beneficiaries |
684 |
Number Of Male Beneficiaries |
601 |
Number Of Non Hispanic White Beneficiaries |
1215 |
Number Of Black or African American Beneficiaries |
21 |
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 |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
931 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
354 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.548 |