National Provider Identifier [NPI]: |
1063454247 |
Last Name Of The Provider |
ACCOMANDO |
First Name Of The Provider |
ANGELO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
205 MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
EAST HAVEN |
Zip Code Of The Provider |
065123003 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
4085 |
Number Of Medicare Beneficiaries |
319 |
Total Submitted Charge Amount |
358987 |
Total Medicare Allowed Amount |
202324.45 |
Total Medicare Payment Amount |
152038.39 |
Total Medicare Standardized Payment Amount |
142382.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
151 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
3645 |
Total Drug Medicare AllowedAmount |
2067.4 |
Total Drug Medicare PaymentAmount |
1993.63 |
Total Drug Medicare Standardized Payment Amount |
1993.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
3934 |
Number Of Medicare Beneficiaries With Medical Services |
319 |
Total Medical Submitted Charge Amount |
355342 |
Total Medical Medicare Allowed Amount |
200257.05 |
Total Medical Medicare Payment Amount |
150044.76 |
Total Medical Medicare Standardized Payment Amount |
140389.1 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
90 |
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
185 |
Number Of Male Beneficiaries |
134 |
Number Of Non Hispanic White Beneficiaries |
292 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
211 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
108 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3493 |