National Provider Identifier [NPI]: |
1144298415 |
Last Name Of The Provider |
CORCORAN |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
711 COTTAGE GROVE RD |
Street Address 2 Of The Provider |
COTTAGE GROVE CARDIOLOGY |
City Of The Provider |
BLOOMFIELD |
Zip Code Of The Provider |
060023060 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
3163 |
Number Of Medicare Beneficiaries |
1480 |
Total Submitted Charge Amount |
801839 |
Total Medicare Allowed Amount |
255610.6 |
Total Medicare Payment Amount |
189172.13 |
Total Medicare Standardized Payment Amount |
179991.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
3163 |
Number Of Medicare Beneficiaries With Medical Services |
1480 |
Total Medical Submitted Charge Amount |
801839 |
Total Medical Medicare Allowed Amount |
255610.6 |
Total Medical Medicare Payment Amount |
189172.13 |
Total Medical Medicare Standardized Payment Amount |
179991.77 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
454 |
Number Of Beneficiaries Age 75 to 84 |
538 |
Number Of Beneficiaries Age Greater 84 |
358 |
Number Of Female Beneficiaries |
759 |
Number Of Male Beneficiaries |
721 |
Number Of Non Hispanic White Beneficiaries |
1121 |
Number Of Black or African American Beneficiaries |
246 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
73 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
1043 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
437 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7897 |