Medicare Facts for Dr. Walter P. Mutter, MD


National Provider Identifier [NPI]: 1104895556
Last Name Of The Provider MUTTER
First Name Of The Provider WALTER
Middle Initial Of The Provider P
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 330 BROOKLINE AVE
Street Address 2 Of The Provider BETH ISRAEL DEACONESS MEDICAL CENTER, DANA 517
City Of The Provider BOSTON
Zip Code Of The Provider 022155400
State Code Of The Provider MA
Country Code Of The Provider US
Provider Type Of The Provider Nephrology
Medicare Participation Indicator Y
Number Of HCPCS 81
Number Of Services 7820
Number Of Medicare Beneficiaries 644
Total Submitted Charge Amount 543517
Total Medicare Allowed Amount 236850.7
Total Medicare Payment Amount 187263.34
Total Medicare Standardized Payment Amount 183195.31
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 81
Number Of Medical Services 7820
Number Of Medicare Beneficiaries With Medical Services 644
Total Medical Submitted Charge Amount 543517
Total Medical Medicare Allowed Amount 236850.7
Total Medical Medicare Payment Amount 187263.34
Total Medical Medicare Standardized Payment Amount 183195.31
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 125
Number Of Beneficiaries Age 65 to 74 232
Number Of Beneficiaries Age 75 to 84 214
Number Of Beneficiaries Age Greater 84 73
Number Of Female Beneficiaries 318
Number Of Male Beneficiaries 326
Number Of Non Hispanic White Beneficiaries 461
Number Of Black or African American Beneficiaries 114
Number Of AsianPacific Islander Beneficiaries 29
Number Of Hispanic Beneficiaries 22
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 18
Number Of Beneficiaries With Medicare Only Entitlement 449
Number Of Beneficiaries With Medicare Medicaid Entitlement 195
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 12
Percent Of With Cancer 15
Percent Of With Heart Failure 39
Percent Of With Chronic Kidney Disease 75
Percent Of With Chronic Obstructive Pulmonary Disease 17
Percent Of With Depression 28
Percent Of With Diabetes 52
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 43
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 3.0506

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