National Provider Identifier [NPI]: |
1164407003 |
Last Name Of The Provider |
JAFRI |
First Name Of The Provider |
ASKARI |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 KENSINGTON AVE |
Street Address 2 Of The Provider |
GROVE HILL MEDICAL CENTER |
City Of The Provider |
NEW BRITAIN |
Zip Code Of The Provider |
060513916 |
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 |
33 |
Number Of Services |
1498 |
Number Of Medicare Beneficiaries |
556 |
Total Submitted Charge Amount |
176195 |
Total Medicare Allowed Amount |
120672 |
Total Medicare Payment Amount |
88796.04 |
Total Medicare Standardized Payment Amount |
83261.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
93 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
2951 |
Total Drug Medicare AllowedAmount |
1063.05 |
Total Drug Medicare PaymentAmount |
1027.27 |
Total Drug Medicare Standardized Payment Amount |
1027.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1405 |
Number Of Medicare Beneficiaries With Medical Services |
556 |
Total Medical Submitted Charge Amount |
173244 |
Total Medical Medicare Allowed Amount |
119608.95 |
Total Medical Medicare Payment Amount |
87768.77 |
Total Medical Medicare Standardized Payment Amount |
82234.63 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
148 |
Number Of Beneficiaries Age 75 to 84 |
148 |
Number Of Beneficiaries Age Greater 84 |
204 |
Number Of Female Beneficiaries |
334 |
Number Of Male Beneficiaries |
222 |
Number Of Non Hispanic White Beneficiaries |
487 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
355 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
201 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4898 |