National Provider Identifier [NPI]: |
1528083607 |
Last Name Of The Provider |
GAGE |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2 CHURCH ST S STE 412 |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW HAVEN |
Zip Code Of The Provider |
065191717 |
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 |
23 |
Number Of Services |
7852 |
Number Of Medicare Beneficiaries |
847 |
Total Submitted Charge Amount |
1394707 |
Total Medicare Allowed Amount |
483508.67 |
Total Medicare Payment Amount |
367147.31 |
Total Medicare Standardized Payment Amount |
342277.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2801 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
33612 |
Total Drug Medicare AllowedAmount |
8029.73 |
Total Drug Medicare PaymentAmount |
6295.28 |
Total Drug Medicare Standardized Payment Amount |
6295.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
5051 |
Number Of Medicare Beneficiaries With Medical Services |
847 |
Total Medical Submitted Charge Amount |
1361095 |
Total Medical Medicare Allowed Amount |
475478.94 |
Total Medical Medicare Payment Amount |
360852.03 |
Total Medical Medicare Standardized Payment Amount |
335981.75 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
267 |
Number Of Beneficiaries Age 75 to 84 |
353 |
Number Of Beneficiaries Age Greater 84 |
194 |
Number Of Female Beneficiaries |
398 |
Number Of Male Beneficiaries |
449 |
Number Of Non Hispanic White Beneficiaries |
765 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
689 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
158 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6496 |