National Provider Identifier [NPI]: |
1124239728 |
Last Name Of The Provider |
BARAN |
First Name Of The Provider |
KEVIN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D., M.P.H. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
120 W MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PLAINVILLE |
Zip Code Of The Provider |
060621944 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
2752 |
Number Of Medicare Beneficiaries |
326 |
Total Submitted Charge Amount |
234300 |
Total Medicare Allowed Amount |
140023.68 |
Total Medicare Payment Amount |
107833.51 |
Total Medicare Standardized Payment Amount |
102484.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
120 |
Number Of Medicare Beneficiaries With Drug Services |
95 |
Total Drug Submitted ChargeAmount |
4289 |
Total Drug Medicare AllowedAmount |
3357.29 |
Total Drug Medicare PaymentAmount |
3265.4 |
Total Drug Medicare Standardized Payment Amount |
3265.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
2632 |
Number Of Medicare Beneficiaries With Medical Services |
326 |
Total Medical Submitted Charge Amount |
230011 |
Total Medical Medicare Allowed Amount |
136666.39 |
Total Medical Medicare Payment Amount |
104568.11 |
Total Medical Medicare Standardized Payment Amount |
99219.53 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
94 |
Number Of Beneficiaries Age 75 to 84 |
72 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
182 |
Number Of Male Beneficiaries |
144 |
Number Of Non Hispanic White Beneficiaries |
291 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
182 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
144 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3456 |