National Provider Identifier [NPI]: |
1013935592 |
Last Name Of The Provider |
CARLOW |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
495 GOLD STAR HWY |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
GROTON |
Zip Code Of The Provider |
063406228 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
6053 |
Number Of Medicare Beneficiaries |
609 |
Total Submitted Charge Amount |
578734 |
Total Medicare Allowed Amount |
275016.12 |
Total Medicare Payment Amount |
205562.81 |
Total Medicare Standardized Payment Amount |
196096.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
3731 |
Number Of Medicare Beneficiaries With Drug Services |
252 |
Total Drug Submitted ChargeAmount |
69130 |
Total Drug Medicare AllowedAmount |
49539.43 |
Total Drug Medicare PaymentAmount |
38826.85 |
Total Drug Medicare Standardized Payment Amount |
38826.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
2322 |
Number Of Medicare Beneficiaries With Medical Services |
609 |
Total Medical Submitted Charge Amount |
509604 |
Total Medical Medicare Allowed Amount |
225476.69 |
Total Medical Medicare Payment Amount |
166735.96 |
Total Medical Medicare Standardized Payment Amount |
157269.62 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
271 |
Number Of Beneficiaries Age 75 to 84 |
202 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
353 |
Number Of Male Beneficiaries |
256 |
Number Of Non Hispanic White Beneficiaries |
553 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
534 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
75 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9916 |