National Provider Identifier [NPI]: |
1467446807 |
Last Name Of The Provider |
TURETSKY |
First Name Of The Provider |
ARTHUR |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15 CORPORATE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
TRUMBULL |
Zip Code Of The Provider |
066111351 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Unknown Physician Specialty Code |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
1951 |
Number Of Medicare Beneficiaries |
609 |
Total Submitted Charge Amount |
281792.8 |
Total Medicare Allowed Amount |
145512.67 |
Total Medicare Payment Amount |
108221.17 |
Total Medicare Standardized Payment Amount |
102839.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
48 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
4615 |
Total Drug Medicare AllowedAmount |
3026.03 |
Total Drug Medicare PaymentAmount |
2964.97 |
Total Drug Medicare Standardized Payment Amount |
2964.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
1903 |
Number Of Medicare Beneficiaries With Medical Services |
609 |
Total Medical Submitted Charge Amount |
277177.8 |
Total Medical Medicare Allowed Amount |
142486.64 |
Total Medical Medicare Payment Amount |
105256.2 |
Total Medical Medicare Standardized Payment Amount |
99874.58 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
222 |
Number Of Beneficiaries Age 75 to 84 |
209 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
339 |
Number Of Male Beneficiaries |
270 |
Number Of Non Hispanic White Beneficiaries |
507 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
487 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
122 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
26 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8568 |