National Provider Identifier [NPI]: |
1053370312 |
Last Name Of The Provider |
DOWNS |
First Name Of The Provider |
TIMOTHY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.P.M |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4 COURTHOUSE LN |
Street Address 2 Of The Provider |
SUITE 11 |
City Of The Provider |
CHELMSFORD |
Zip Code Of The Provider |
018241728 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
2650 |
Number Of Medicare Beneficiaries |
873 |
Total Submitted Charge Amount |
222815 |
Total Medicare Allowed Amount |
117330.27 |
Total Medicare Payment Amount |
84455.12 |
Total Medicare Standardized Payment Amount |
79779.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
112 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
560 |
Total Drug Medicare AllowedAmount |
95.93 |
Total Drug Medicare PaymentAmount |
70.83 |
Total Drug Medicare Standardized Payment Amount |
70.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
2538 |
Number Of Medicare Beneficiaries With Medical Services |
873 |
Total Medical Submitted Charge Amount |
222255 |
Total Medical Medicare Allowed Amount |
117234.34 |
Total Medical Medicare Payment Amount |
84384.29 |
Total Medical Medicare Standardized Payment Amount |
79708.78 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
328 |
Number Of Beneficiaries Age 75 to 84 |
285 |
Number Of Beneficiaries Age Greater 84 |
193 |
Number Of Female Beneficiaries |
497 |
Number Of Male Beneficiaries |
376 |
Number Of Non Hispanic White Beneficiaries |
837 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
782 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
91 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4443 |