National Provider Identifier [NPI]: |
1356401251 |
Last Name Of The Provider |
FARRINGTON |
First Name Of The Provider |
TERESA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
25 FIRST PARK DR STE B |
Street Address 2 Of The Provider |
|
City Of The Provider |
OAKLAND |
Zip Code Of The Provider |
049635361 |
State Code Of The Provider |
ME |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
9525 |
Number Of Medicare Beneficiaries |
293 |
Total Submitted Charge Amount |
241415 |
Total Medicare Allowed Amount |
132208.8 |
Total Medicare Payment Amount |
105329.13 |
Total Medicare Standardized Payment Amount |
112878.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
107 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
2800 |
Total Drug Medicare AllowedAmount |
1991.94 |
Total Drug Medicare PaymentAmount |
1951.86 |
Total Drug Medicare Standardized Payment Amount |
1951.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
9418 |
Number Of Medicare Beneficiaries With Medical Services |
293 |
Total Medical Submitted Charge Amount |
238615 |
Total Medical Medicare Allowed Amount |
130216.86 |
Total Medical Medicare Payment Amount |
103377.27 |
Total Medical Medicare Standardized Payment Amount |
110926.5 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
101 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
155 |
Number Of Male Beneficiaries |
138 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
113 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
180 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
66 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.6259 |