National Provider Identifier [NPI]: |
1104821925 |
Last Name Of The Provider |
SCHUSSHEIM |
First Name Of The Provider |
ADAM |
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 |
1305 POST RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FAIRFIELD |
Zip Code Of The Provider |
068246016 |
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 |
48 |
Number Of Services |
4391 |
Number Of Medicare Beneficiaries |
1545 |
Total Submitted Charge Amount |
976188 |
Total Medicare Allowed Amount |
296648.92 |
Total Medicare Payment Amount |
217568.74 |
Total Medicare Standardized Payment Amount |
204400.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
4391 |
Number Of Medicare Beneficiaries With Medical Services |
1545 |
Total Medical Submitted Charge Amount |
976188 |
Total Medical Medicare Allowed Amount |
296648.92 |
Total Medical Medicare Payment Amount |
217568.74 |
Total Medical Medicare Standardized Payment Amount |
204400.91 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
517 |
Number Of Beneficiaries Age 75 to 84 |
558 |
Number Of Beneficiaries Age Greater 84 |
386 |
Number Of Female Beneficiaries |
797 |
Number Of Male Beneficiaries |
748 |
Number Of Non Hispanic White Beneficiaries |
1353 |
Number Of Black or African American Beneficiaries |
87 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
1308 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
237 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5823 |