National Provider Identifier [NPI]: |
1407824733 |
Last Name Of The Provider |
ROMANO |
First Name Of The Provider |
VINCENT |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
711 COTTAGE GROVE RD |
Street Address 2 Of The Provider |
COTTAGE GROVE CARDIOLOGY |
City Of The Provider |
BLOOMFIELD |
Zip Code Of The Provider |
060023060 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
5231 |
Number Of Medicare Beneficiaries |
1369 |
Total Submitted Charge Amount |
1210154.35 |
Total Medicare Allowed Amount |
464092.62 |
Total Medicare Payment Amount |
350459.76 |
Total Medicare Standardized Payment Amount |
331457.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
916 |
Number Of Medicare Beneficiaries With Drug Services |
184 |
Total Drug Submitted ChargeAmount |
51258.14 |
Total Drug Medicare AllowedAmount |
38814.83 |
Total Drug Medicare PaymentAmount |
30181.05 |
Total Drug Medicare Standardized Payment Amount |
30181.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
4315 |
Number Of Medicare Beneficiaries With Medical Services |
1369 |
Total Medical Submitted Charge Amount |
1158896.21 |
Total Medical Medicare Allowed Amount |
425277.79 |
Total Medical Medicare Payment Amount |
320278.71 |
Total Medical Medicare Standardized Payment Amount |
301276.84 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
433 |
Number Of Beneficiaries Age 75 to 84 |
496 |
Number Of Beneficiaries Age Greater 84 |
336 |
Number Of Female Beneficiaries |
753 |
Number Of Male Beneficiaries |
616 |
Number Of Non Hispanic White Beneficiaries |
1053 |
Number Of Black or African American Beneficiaries |
209 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
60 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
1002 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
367 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6378 |