Medicare Facts for Dr. Micha Abeles, MD


National Provider Identifier [NPI]: 1497751556
Last Name Of The Provider ABELES
First Name Of The Provider MICHA
Middle Initial Of The Provider
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 816 BROAD ST STE 14
Street Address 2 Of The Provider
City Of The Provider MERIDEN
Zip Code Of The Provider 064504350
State Code Of The Provider CT
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 42
Number Of Services 12181
Number Of Medicare Beneficiaries 587
Total Submitted Charge Amount 560326.02
Total Medicare Allowed Amount 357045.37
Total Medicare Payment Amount 272735.35
Total Medicare Standardized Payment Amount 262613.59
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 17
Number Of Drug Services 10083
Number Of Medicare Beneficiaries With Drug Services 189
Total Drug Submitted ChargeAmount 232231
Total Drug Medicare AllowedAmount 181907.46
Total Drug Medicare PaymentAmount 142286.99
Total Drug Medicare Standardized Payment Amount 142286.99
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 25
Number Of Medical Services 2098
Number Of Medicare Beneficiaries With Medical Services 587
Total Medical Submitted Charge Amount 328095.02
Total Medical Medicare Allowed Amount 175137.91
Total Medical Medicare Payment Amount 130448.36
Total Medical Medicare Standardized Payment Amount 120326.6
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 122
Number Of Beneficiaries Age 65 to 74 221
Number Of Beneficiaries Age 75 to 84 181
Number Of Beneficiaries Age Greater 84 63
Number Of Female Beneficiaries 445
Number Of Male Beneficiaries 142
Number Of Non Hispanic White Beneficiaries 483
Number Of Black or African American Beneficiaries 28
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 57
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 389
Number Of Beneficiaries With Medicare Medicaid Entitlement 198
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 10
Percent Of With Cancer 8
Percent Of With Heart Failure 16
Percent Of With Chronic Kidney Disease 21
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 28
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis 18
Percent Of With Rheumatoid Arthritis Osteoarthritis 72
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.3033

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