National Provider Identifier [NPI]: |
1578588661 |
Last Name Of The Provider |
WEINSTEIN |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
160 HAWLEY LN |
Street Address 2 Of The Provider |
SUITE 002 |
City Of The Provider |
TRUMBULL |
Zip Code Of The Provider |
066115300 |
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 |
91 |
Number Of Services |
10068 |
Number Of Medicare Beneficiaries |
1067 |
Total Submitted Charge Amount |
1223246.5 |
Total Medicare Allowed Amount |
439336.9 |
Total Medicare Payment Amount |
329259.92 |
Total Medicare Standardized Payment Amount |
316029.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
5339 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
204708 |
Total Drug Medicare AllowedAmount |
93894.62 |
Total Drug Medicare PaymentAmount |
73578.14 |
Total Drug Medicare Standardized Payment Amount |
73578.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
4729 |
Number Of Medicare Beneficiaries With Medical Services |
1067 |
Total Medical Submitted Charge Amount |
1018538.5 |
Total Medical Medicare Allowed Amount |
345442.28 |
Total Medical Medicare Payment Amount |
255681.78 |
Total Medical Medicare Standardized Payment Amount |
242451.37 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
392 |
Number Of Beneficiaries Age 75 to 84 |
352 |
Number Of Beneficiaries Age Greater 84 |
206 |
Number Of Female Beneficiaries |
402 |
Number Of Male Beneficiaries |
665 |
Number Of Non Hispanic White Beneficiaries |
933 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
57 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
868 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
199 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3918 |