National Provider Identifier [NPI]: |
1891800512 |
Last Name Of The Provider |
ASTRAUSKAS |
First Name Of The Provider |
LEONARD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
27 NORTH MAIN STREET |
Street Address 2 Of The Provider |
UNIT 7A |
City Of The Provider |
KENT |
Zip Code Of The Provider |
06757 |
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 |
53 |
Number Of Services |
4234 |
Number Of Medicare Beneficiaries |
950 |
Total Submitted Charge Amount |
472774.58 |
Total Medicare Allowed Amount |
230816.16 |
Total Medicare Payment Amount |
169767.17 |
Total Medicare Standardized Payment Amount |
158429.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
60 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
3594.91 |
Total Drug Medicare AllowedAmount |
1287.32 |
Total Drug Medicare PaymentAmount |
1210.13 |
Total Drug Medicare Standardized Payment Amount |
1210.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
4174 |
Number Of Medicare Beneficiaries With Medical Services |
950 |
Total Medical Submitted Charge Amount |
469179.67 |
Total Medical Medicare Allowed Amount |
229528.84 |
Total Medical Medicare Payment Amount |
168557.04 |
Total Medical Medicare Standardized Payment Amount |
157219.27 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
326 |
Number Of Beneficiaries Age 75 to 84 |
310 |
Number Of Beneficiaries Age Greater 84 |
223 |
Number Of Female Beneficiaries |
515 |
Number Of Male Beneficiaries |
435 |
Number Of Non Hispanic White Beneficiaries |
899 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
737 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
213 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3857 |