National Provider Identifier [NPI]: |
1952333858 |
Last Name Of The Provider |
PASTORE |
First Name Of The Provider |
GAETANO |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 CENTURIAN DR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
NEWARK |
Zip Code Of The Provider |
197132137 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
14658 |
Number Of Medicare Beneficiaries |
3931 |
Total Submitted Charge Amount |
4024746.2 |
Total Medicare Allowed Amount |
1161034.51 |
Total Medicare Payment Amount |
868992.44 |
Total Medicare Standardized Payment Amount |
855707.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1246 |
Number Of Medicare Beneficiaries With Drug Services |
308 |
Total Drug Submitted ChargeAmount |
149248.2 |
Total Drug Medicare AllowedAmount |
58561.37 |
Total Drug Medicare PaymentAmount |
45487.5 |
Total Drug Medicare Standardized Payment Amount |
45487.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
13412 |
Number Of Medicare Beneficiaries With Medical Services |
3931 |
Total Medical Submitted Charge Amount |
3875498 |
Total Medical Medicare Allowed Amount |
1102473.14 |
Total Medical Medicare Payment Amount |
823504.94 |
Total Medical Medicare Standardized Payment Amount |
810219.84 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
349 |
Number Of Beneficiaries Age 65 to 74 |
1536 |
Number Of Beneficiaries Age 75 to 84 |
1363 |
Number Of Beneficiaries Age Greater 84 |
683 |
Number Of Female Beneficiaries |
1984 |
Number Of Male Beneficiaries |
1947 |
Number Of Non Hispanic White Beneficiaries |
3210 |
Number Of Black or African American Beneficiaries |
552 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
78 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
48 |
Number Of Beneficiaries With Medicare Only Entitlement |
3461 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
470 |
Percent Of With Atrial Fibrillation |
38 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.5896 |