National Provider Identifier [NPI]: |
1306941067 |
Last Name Of The Provider |
FRINK |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
520 SAYBROOK ROAD |
Street Address 2 Of The Provider |
SUITE 100B |
City Of The Provider |
MIDDLETOWN |
Zip Code Of The Provider |
06457 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
3176 |
Number Of Medicare Beneficiaries |
727 |
Total Submitted Charge Amount |
605455 |
Total Medicare Allowed Amount |
251486.3 |
Total Medicare Payment Amount |
184573.08 |
Total Medicare Standardized Payment Amount |
177434.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
439 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
80298 |
Total Drug Medicare AllowedAmount |
28399.15 |
Total Drug Medicare PaymentAmount |
22050.65 |
Total Drug Medicare Standardized Payment Amount |
22050.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
2737 |
Number Of Medicare Beneficiaries With Medical Services |
727 |
Total Medical Submitted Charge Amount |
525157 |
Total Medical Medicare Allowed Amount |
223087.15 |
Total Medical Medicare Payment Amount |
162522.43 |
Total Medical Medicare Standardized Payment Amount |
155384.04 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
243 |
Number Of Beneficiaries Age 75 to 84 |
272 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
174 |
Number Of Male Beneficiaries |
553 |
Number Of Non Hispanic White Beneficiaries |
689 |
Number Of Black or African American Beneficiaries |
19 |
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 |
586 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
141 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2492 |