National Provider Identifier [NPI]: |
1720042971 |
Last Name Of The Provider |
ANTOCI |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1579 STRAITS TPKE |
Street Address 2 Of The Provider |
SUITE 2A |
City Of The Provider |
MIDDLEBURY |
Zip Code Of The Provider |
067621835 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
7663 |
Number Of Medicare Beneficiaries |
758 |
Total Submitted Charge Amount |
772345.8 |
Total Medicare Allowed Amount |
324161.13 |
Total Medicare Payment Amount |
245299.43 |
Total Medicare Standardized Payment Amount |
233869.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
3917 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
197623.8 |
Total Drug Medicare AllowedAmount |
86735.83 |
Total Drug Medicare PaymentAmount |
67975.78 |
Total Drug Medicare Standardized Payment Amount |
67975.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
3746 |
Number Of Medicare Beneficiaries With Medical Services |
758 |
Total Medical Submitted Charge Amount |
574722 |
Total Medical Medicare Allowed Amount |
237425.3 |
Total Medical Medicare Payment Amount |
177323.65 |
Total Medical Medicare Standardized Payment Amount |
165894.2 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
125 |
Number Of Beneficiaries Age 65 to 74 |
231 |
Number Of Beneficiaries Age 75 to 84 |
246 |
Number Of Beneficiaries Age Greater 84 |
156 |
Number Of Female Beneficiaries |
283 |
Number Of Male Beneficiaries |
475 |
Number Of Non Hispanic White Beneficiaries |
656 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
494 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
264 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5368 |