National Provider Identifier [NPI]: |
1497736466 |
Last Name Of The Provider |
GLAUBIGER |
First Name Of The Provider |
LAWRENCE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
146 HAZARD AVE |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
ENFIELD |
Zip Code Of The Provider |
060824571 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
1822 |
Number Of Medicare Beneficiaries |
498 |
Total Submitted Charge Amount |
293145 |
Total Medicare Allowed Amount |
163141.49 |
Total Medicare Payment Amount |
125079.37 |
Total Medicare Standardized Payment Amount |
117387.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
11 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
290 |
Total Drug Medicare AllowedAmount |
187.18 |
Total Drug Medicare PaymentAmount |
183.42 |
Total Drug Medicare Standardized Payment Amount |
183.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
1811 |
Number Of Medicare Beneficiaries With Medical Services |
498 |
Total Medical Submitted Charge Amount |
292855 |
Total Medical Medicare Allowed Amount |
162954.31 |
Total Medical Medicare Payment Amount |
124895.95 |
Total Medical Medicare Standardized Payment Amount |
117204.29 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
130 |
Number Of Beneficiaries Age 75 to 84 |
165 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
289 |
Number Of Male Beneficiaries |
209 |
Number Of Non Hispanic White Beneficiaries |
475 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
318 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
180 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
37 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
54 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8655 |