National Provider Identifier [NPI]: |
1588662407 |
Last Name Of The Provider |
SCHLOSS |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
131 ORNAC |
Street Address 2 Of The Provider |
SUITE 740/50 |
City Of The Provider |
CONCORD |
Zip Code Of The Provider |
017424181 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
2253 |
Number Of Medicare Beneficiaries |
512 |
Total Submitted Charge Amount |
574988 |
Total Medicare Allowed Amount |
210265.98 |
Total Medicare Payment Amount |
157559.37 |
Total Medicare Standardized Payment Amount |
150034.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
203 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
74376 |
Total Drug Medicare AllowedAmount |
31494.67 |
Total Drug Medicare PaymentAmount |
24615.11 |
Total Drug Medicare Standardized Payment Amount |
24615.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
2050 |
Number Of Medicare Beneficiaries With Medical Services |
512 |
Total Medical Submitted Charge Amount |
500612 |
Total Medical Medicare Allowed Amount |
178771.31 |
Total Medical Medicare Payment Amount |
132944.26 |
Total Medical Medicare Standardized Payment Amount |
125419.28 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
208 |
Number Of Beneficiaries Age 75 to 84 |
188 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
72 |
Number Of Male Beneficiaries |
440 |
Number Of Non Hispanic White Beneficiaries |
485 |
Number Of Black or African American Beneficiaries |
|
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
477 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1529 |