National Provider Identifier [NPI]: |
1083685226 |
Last Name Of The Provider |
NEESON |
First Name Of The Provider |
FRANCIS |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
75 HOLLY HILL LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
GREENWICH |
Zip Code Of The Provider |
068306098 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
6646 |
Number Of Medicare Beneficiaries |
1399 |
Total Submitted Charge Amount |
861152.5 |
Total Medicare Allowed Amount |
375969.1 |
Total Medicare Payment Amount |
283984.65 |
Total Medicare Standardized Payment Amount |
263669.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
22 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
1355 |
Total Drug Medicare AllowedAmount |
823.54 |
Total Drug Medicare PaymentAmount |
807.02 |
Total Drug Medicare Standardized Payment Amount |
807.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
6624 |
Number Of Medicare Beneficiaries With Medical Services |
1399 |
Total Medical Submitted Charge Amount |
859797.5 |
Total Medical Medicare Allowed Amount |
375145.56 |
Total Medical Medicare Payment Amount |
283177.63 |
Total Medical Medicare Standardized Payment Amount |
262862.78 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
374 |
Number Of Beneficiaries Age 75 to 84 |
470 |
Number Of Beneficiaries Age Greater 84 |
491 |
Number Of Female Beneficiaries |
769 |
Number Of Male Beneficiaries |
630 |
Number Of Non Hispanic White Beneficiaries |
1255 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
1148 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
251 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6636 |