National Provider Identifier [NPI]: |
1811005713 |
Last Name Of The Provider |
AITHAL |
First Name Of The Provider |
KESHAVA |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
420 SAYBROOK RD |
Street Address 2 Of The Provider |
MIDDLESEX CARDIOLOGY ASSOCIATES |
City Of The Provider |
MIDDLETOWN |
Zip Code Of The Provider |
064574747 |
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 |
60 |
Number Of Services |
4846 |
Number Of Medicare Beneficiaries |
2214 |
Total Submitted Charge Amount |
980449.82 |
Total Medicare Allowed Amount |
432666.24 |
Total Medicare Payment Amount |
321889.42 |
Total Medicare Standardized Payment Amount |
300585.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
317 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
24505 |
Total Drug Medicare AllowedAmount |
16727.18 |
Total Drug Medicare PaymentAmount |
12995.87 |
Total Drug Medicare Standardized Payment Amount |
12995.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
4529 |
Number Of Medicare Beneficiaries With Medical Services |
2214 |
Total Medical Submitted Charge Amount |
955944.82 |
Total Medical Medicare Allowed Amount |
415939.06 |
Total Medical Medicare Payment Amount |
308893.55 |
Total Medical Medicare Standardized Payment Amount |
287589.57 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
200 |
Number Of Beneficiaries Age 65 to 74 |
681 |
Number Of Beneficiaries Age 75 to 84 |
746 |
Number Of Beneficiaries Age Greater 84 |
587 |
Number Of Female Beneficiaries |
1156 |
Number Of Male Beneficiaries |
1058 |
Number Of Non Hispanic White Beneficiaries |
2041 |
Number Of Black or African American Beneficiaries |
80 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
1625 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
589 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6243 |