National Provider Identifier [NPI]: |
1336176270 |
Last Name Of The Provider |
KASE |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
57 COMMERCIAL BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TORRINGTON |
Zip Code Of The Provider |
067903097 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
203 |
Number Of Services |
21333 |
Number Of Medicare Beneficiaries |
3044 |
Total Submitted Charge Amount |
1249463.9 |
Total Medicare Allowed Amount |
349410.84 |
Total Medicare Payment Amount |
262493.25 |
Total Medicare Standardized Payment Amount |
246455.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
14448 |
Number Of Medicare Beneficiaries With Drug Services |
126 |
Total Drug Submitted ChargeAmount |
12891.9 |
Total Drug Medicare AllowedAmount |
3167.13 |
Total Drug Medicare PaymentAmount |
2467.2 |
Total Drug Medicare Standardized Payment Amount |
2467.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
200 |
Number Of Medical Services |
6885 |
Number Of Medicare Beneficiaries With Medical Services |
3043 |
Total Medical Submitted Charge Amount |
1236572 |
Total Medical Medicare Allowed Amount |
346243.71 |
Total Medical Medicare Payment Amount |
260026.05 |
Total Medical Medicare Standardized Payment Amount |
243988.05 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
523 |
Number Of Beneficiaries Age 65 to 74 |
918 |
Number Of Beneficiaries Age 75 to 84 |
886 |
Number Of Beneficiaries Age Greater 84 |
717 |
Number Of Female Beneficiaries |
1723 |
Number Of Male Beneficiaries |
1321 |
Number Of Non Hispanic White Beneficiaries |
2879 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
64 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
36 |
Number Of Beneficiaries With Medicare Only Entitlement |
1829 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1215 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6273 |