National Provider Identifier [NPI]: |
1689619884 |
Last Name Of The Provider |
BABIRAK |
First Name Of The Provider |
STEPHAN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
71 US ROUTE 1 STE J |
Street Address 2 Of The Provider |
|
City Of The Provider |
SCARBOROUGH |
Zip Code Of The Provider |
040747168 |
State Code Of The Provider |
ME |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
2114 |
Number Of Medicare Beneficiaries |
644 |
Total Submitted Charge Amount |
1162078.7 |
Total Medicare Allowed Amount |
575355.15 |
Total Medicare Payment Amount |
408455.14 |
Total Medicare Standardized Payment Amount |
446555.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
58 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
8065.64 |
Total Drug Medicare AllowedAmount |
5431.83 |
Total Drug Medicare PaymentAmount |
4439.34 |
Total Drug Medicare Standardized Payment Amount |
4439.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
2056 |
Number Of Medicare Beneficiaries With Medical Services |
644 |
Total Medical Submitted Charge Amount |
1154013.06 |
Total Medical Medicare Allowed Amount |
569923.32 |
Total Medical Medicare Payment Amount |
404015.8 |
Total Medical Medicare Standardized Payment Amount |
442115.77 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
158 |
Number Of Beneficiaries Age 65 to 74 |
327 |
Number Of Beneficiaries Age 75 to 84 |
133 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
404 |
Number Of Male Beneficiaries |
240 |
Number Of Non Hispanic White Beneficiaries |
620 |
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
457 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
187 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.3062 |