Medicare Facts for Dr. Philip R. Raiford, MD


National Provider Identifier [NPI]: 1962487983
Last Name Of The Provider RAIFORD
First Name Of The Provider PHILIP
Middle Initial Of The Provider R
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 45 GREEN HOLLOW RD
Street Address 2 Of The Provider
City Of The Provider DANIELSON
Zip Code Of The Provider 062393509
State Code Of The Provider CT
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 71
Number Of Services 1658
Number Of Medicare Beneficiaries 323
Total Submitted Charge Amount 155599.01
Total Medicare Allowed Amount 98398.97
Total Medicare Payment Amount 69912.07
Total Medicare Standardized Payment Amount 66040.87
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 90
Number Of Medicare Beneficiaries With Drug Services 60
Total Drug Submitted ChargeAmount 2704.01
Total Drug Medicare AllowedAmount 2079.01
Total Drug Medicare PaymentAmount 2015.76
Total Drug Medicare Standardized Payment Amount 2015.76
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 66
Number Of Medical Services 1568
Number Of Medicare Beneficiaries With Medical Services 323
Total Medical Submitted Charge Amount 152895
Total Medical Medicare Allowed Amount 96319.96
Total Medical Medicare Payment Amount 67896.31
Total Medical Medicare Standardized Payment Amount 64025.11
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 43
Number Of Beneficiaries Age 65 to 74 131
Number Of Beneficiaries Age 75 to 84 106
Number Of Beneficiaries Age Greater 84 43
Number Of Female Beneficiaries 167
Number Of Male Beneficiaries 156
Number Of Non Hispanic White Beneficiaries 312
Number Of Black or African American Beneficiaries 0
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 224
Number Of Beneficiaries With Medicare Medicaid Entitlement 99
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 8
Percent Of With Cancer 9
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 21
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 35
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.1648

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