National Provider Identifier [NPI]: |
1407886450 |
Last Name Of The Provider |
HAFFNER |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2200 WHITNEY AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
HAMDEN |
Zip Code Of The Provider |
065183691 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
11834 |
Number Of Medicare Beneficiaries |
1099 |
Total Submitted Charge Amount |
4589972.1 |
Total Medicare Allowed Amount |
2731311.83 |
Total Medicare Payment Amount |
2106948.41 |
Total Medicare Standardized Payment Amount |
2059849.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
3683 |
Number Of Medicare Beneficiaries With Drug Services |
342 |
Total Drug Submitted ChargeAmount |
2575059.1 |
Total Drug Medicare AllowedAmount |
1879524.67 |
Total Drug Medicare PaymentAmount |
1463132.55 |
Total Drug Medicare Standardized Payment Amount |
1463132.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
8151 |
Number Of Medicare Beneficiaries With Medical Services |
1099 |
Total Medical Submitted Charge Amount |
2014913 |
Total Medical Medicare Allowed Amount |
851787.16 |
Total Medical Medicare Payment Amount |
643815.86 |
Total Medical Medicare Standardized Payment Amount |
596716.6 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
316 |
Number Of Beneficiaries Age 75 to 84 |
353 |
Number Of Beneficiaries Age Greater 84 |
369 |
Number Of Female Beneficiaries |
645 |
Number Of Male Beneficiaries |
454 |
Number Of Non Hispanic White Beneficiaries |
965 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
44 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
888 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
211 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4239 |