National Provider Identifier [NPI]: |
1336290311 |
Last Name Of The Provider |
MARANO |
First Name Of The Provider |
ALBERT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1524 ATWOOD AVE |
Street Address 2 Of The Provider |
SUITE 244 |
City Of The Provider |
JOHNSTON |
Zip Code Of The Provider |
029193228 |
State Code Of The Provider |
RI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
14299 |
Number Of Medicare Beneficiaries |
930 |
Total Submitted Charge Amount |
774988.06 |
Total Medicare Allowed Amount |
347690.53 |
Total Medicare Payment Amount |
259284.56 |
Total Medicare Standardized Payment Amount |
251360.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
11896 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
94488.06 |
Total Drug Medicare AllowedAmount |
64773.16 |
Total Drug Medicare PaymentAmount |
50782.07 |
Total Drug Medicare Standardized Payment Amount |
50782.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
2403 |
Number Of Medicare Beneficiaries With Medical Services |
930 |
Total Medical Submitted Charge Amount |
680500 |
Total Medical Medicare Allowed Amount |
282917.37 |
Total Medical Medicare Payment Amount |
208502.49 |
Total Medical Medicare Standardized Payment Amount |
200578.63 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
259 |
Number Of Beneficiaries Age 65 to 74 |
290 |
Number Of Beneficiaries Age 75 to 84 |
221 |
Number Of Beneficiaries Age Greater 84 |
160 |
Number Of Female Beneficiaries |
576 |
Number Of Male Beneficiaries |
354 |
Number Of Non Hispanic White Beneficiaries |
844 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
625 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
305 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.4907 |