National Provider Identifier [NPI]: |
1184611535 |
Last Name Of The Provider |
HROMADKA |
First Name Of The Provider |
AIMEE |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
130 COUNTY RD |
Street Address 2 Of The Provider |
BEACON FAMILY MEDICINE, CABLE PROFESSIONAL BUILDING |
City Of The Provider |
IPSWICH |
Zip Code Of The Provider |
019382550 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
1399 |
Number Of Medicare Beneficiaries |
275 |
Total Submitted Charge Amount |
200692 |
Total Medicare Allowed Amount |
85994.8 |
Total Medicare Payment Amount |
63758.58 |
Total Medicare Standardized Payment Amount |
61933.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
124 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
4342 |
Total Drug Medicare AllowedAmount |
2785.56 |
Total Drug Medicare PaymentAmount |
2623.96 |
Total Drug Medicare Standardized Payment Amount |
2623.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1275 |
Number Of Medicare Beneficiaries With Medical Services |
275 |
Total Medical Submitted Charge Amount |
196350 |
Total Medical Medicare Allowed Amount |
83209.24 |
Total Medical Medicare Payment Amount |
61134.62 |
Total Medical Medicare Standardized Payment Amount |
59309.58 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
118 |
Number Of Beneficiaries Age 75 to 84 |
65 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
216 |
Number Of Male Beneficiaries |
59 |
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 |
198 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
77 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
33 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1073 |