| National Provider Identifier [NPI]: | 1699821892 |
| Last Name Of The Provider | GRANQUIST |
| First Name Of The Provider | JOHN |
| 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 | CONSULTING CARDIOLOGISTS, P.C. |
| Street Address 2 Of The Provider | 85 SEYMOUR STREET SUITE 719 |
| City Of The Provider | HARTFORD |
| Zip Code Of The Provider | 06106 |
| 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 | 45 |
| Number Of Services | 9100 |
| Number Of Medicare Beneficiaries | 3228 |
| Total Submitted Charge Amount | 910811.33 |
| Total Medicare Allowed Amount | 372415.62 |
| Total Medicare Payment Amount | 278904.6 |
| Total Medicare Standardized Payment Amount | 258011.45 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 2385 |
| Number Of Medicare Beneficiaries With Drug Services | 42 |
| Total Drug Submitted ChargeAmount | 14355.33 |
| Total Drug Medicare AllowedAmount | 8650.72 |
| Total Drug Medicare PaymentAmount | 6723.03 |
| Total Drug Medicare Standardized Payment Amount | 6723.03 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 41 |
| Number Of Medical Services | 6715 |
| Number Of Medicare Beneficiaries With Medical Services | 3228 |
| Total Medical Submitted Charge Amount | 896456 |
| Total Medical Medicare Allowed Amount | 363764.9 |
| Total Medical Medicare Payment Amount | 272181.57 |
| Total Medical Medicare Standardized Payment Amount | 251288.42 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 439 |
| Number Of Beneficiaries Age 65 to 74 | 928 |
| Number Of Beneficiaries Age 75 to 84 | 1063 |
| Number Of Beneficiaries Age Greater 84 | 798 |
| Number Of Female Beneficiaries | 1623 |
| Number Of Male Beneficiaries | 1605 |
| Number Of Non Hispanic White Beneficiaries | 2656 |
| Number Of Black or African American Beneficiaries | 230 |
| Number Of AsianPacific Islander Beneficiaries | 30 |
| Number Of Hispanic Beneficiaries | 261 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 51 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2141 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1087 |
| Percent Of With Atrial Fibrillation | 33 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 47 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 71 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 62 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 2.0882 |