National Provider Identifier [NPI]: |
1194740308 |
Last Name Of The Provider |
TURNER |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
85 SEYMOUR ST |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
HARTFORD |
Zip Code Of The Provider |
061065501 |
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 |
170 |
Number Of Services |
13079 |
Number Of Medicare Beneficiaries |
4314 |
Total Submitted Charge Amount |
1101956 |
Total Medicare Allowed Amount |
270461.17 |
Total Medicare Payment Amount |
209999.28 |
Total Medicare Standardized Payment Amount |
200005.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
6308 |
Number Of Medicare Beneficiaries With Drug Services |
73 |
Total Drug Submitted ChargeAmount |
18076 |
Total Drug Medicare AllowedAmount |
1345.24 |
Total Drug Medicare PaymentAmount |
1054.62 |
Total Drug Medicare Standardized Payment Amount |
1054.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
167 |
Number Of Medical Services |
6771 |
Number Of Medicare Beneficiaries With Medical Services |
4314 |
Total Medical Submitted Charge Amount |
1083880 |
Total Medical Medicare Allowed Amount |
269115.93 |
Total Medical Medicare Payment Amount |
208944.66 |
Total Medical Medicare Standardized Payment Amount |
198950.64 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
736 |
Number Of Beneficiaries Age 65 to 74 |
1510 |
Number Of Beneficiaries Age 75 to 84 |
1259 |
Number Of Beneficiaries Age Greater 84 |
809 |
Number Of Female Beneficiaries |
2830 |
Number Of Male Beneficiaries |
1484 |
Number Of Non Hispanic White Beneficiaries |
3723 |
Number Of Black or African American Beneficiaries |
143 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
346 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
56 |
Number Of Beneficiaries With Medicare Only Entitlement |
2805 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1509 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5484 |