National Provider Identifier [NPI]: |
1821137423 |
Last Name Of The Provider |
LOVEGROVE |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
35 HOYT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
STAMFORD |
Zip Code Of The Provider |
069055602 |
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 |
65 |
Number Of Services |
6252 |
Number Of Medicare Beneficiaries |
1181 |
Total Submitted Charge Amount |
1376210 |
Total Medicare Allowed Amount |
587029.42 |
Total Medicare Payment Amount |
432584.1 |
Total Medicare Standardized Payment Amount |
412006.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
386 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
225760 |
Total Drug Medicare AllowedAmount |
77452.72 |
Total Drug Medicare PaymentAmount |
59377.39 |
Total Drug Medicare Standardized Payment Amount |
59377.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
5866 |
Number Of Medicare Beneficiaries With Medical Services |
1181 |
Total Medical Submitted Charge Amount |
1150450 |
Total Medical Medicare Allowed Amount |
509576.7 |
Total Medical Medicare Payment Amount |
373206.71 |
Total Medical Medicare Standardized Payment Amount |
352628.8 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
360 |
Number Of Beneficiaries Age 75 to 84 |
478 |
Number Of Beneficiaries Age Greater 84 |
328 |
Number Of Female Beneficiaries |
179 |
Number Of Male Beneficiaries |
1002 |
Number Of Non Hispanic White Beneficiaries |
1049 |
Number Of Black or African American Beneficiaries |
61 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1089 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1882 |