National Provider Identifier [NPI]: |
1467474783 |
Last Name Of The Provider |
MESZAROS |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
56 QUARRY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TRUMBULL |
Zip Code Of The Provider |
066114874 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
175 |
Number Of Services |
25034 |
Number Of Medicare Beneficiaries |
2588 |
Total Submitted Charge Amount |
1718455.32 |
Total Medicare Allowed Amount |
405161.91 |
Total Medicare Payment Amount |
310839.71 |
Total Medicare Standardized Payment Amount |
291193.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
21256 |
Number Of Medicare Beneficiaries With Drug Services |
239 |
Total Drug Submitted ChargeAmount |
17846.32 |
Total Drug Medicare AllowedAmount |
6354.5 |
Total Drug Medicare PaymentAmount |
4958.11 |
Total Drug Medicare Standardized Payment Amount |
4958.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
171 |
Number Of Medical Services |
3778 |
Number Of Medicare Beneficiaries With Medical Services |
2587 |
Total Medical Submitted Charge Amount |
1700609 |
Total Medical Medicare Allowed Amount |
398807.41 |
Total Medical Medicare Payment Amount |
305881.6 |
Total Medical Medicare Standardized Payment Amount |
286235.78 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
418 |
Number Of Beneficiaries Age 65 to 74 |
823 |
Number Of Beneficiaries Age 75 to 84 |
819 |
Number Of Beneficiaries Age Greater 84 |
528 |
Number Of Female Beneficiaries |
1529 |
Number Of Male Beneficiaries |
1059 |
Number Of Non Hispanic White Beneficiaries |
1959 |
Number Of Black or African American Beneficiaries |
301 |
Number Of AsianPacific Islander Beneficiaries |
33 |
Number Of Hispanic Beneficiaries |
253 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
42 |
Number Of Beneficiaries With Medicare Only Entitlement |
1781 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
807 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7339 |