National Provider Identifier [NPI]: |
1659356640 |
Last Name Of The Provider |
BULGARU |
First Name Of The Provider |
ANCA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
330 WASHINGTON ST |
Street Address 2 Of The Provider |
STE 220 EASTERN CT HEMATOLOGY & ONCOLOGY |
City Of The Provider |
NORWICH |
Zip Code Of The Provider |
06360 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
126 |
Number Of Services |
107766 |
Number Of Medicare Beneficiaries |
536 |
Total Submitted Charge Amount |
2192871 |
Total Medicare Allowed Amount |
1362549 |
Total Medicare Payment Amount |
1060294.29 |
Total Medicare Standardized Payment Amount |
1048364.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
56 |
Number Of Drug Services |
98776 |
Number Of Medicare Beneficiaries With Drug Services |
141 |
Total Drug Submitted ChargeAmount |
1571416 |
Total Drug Medicare AllowedAmount |
989803.4 |
Total Drug Medicare PaymentAmount |
773617.74 |
Total Drug Medicare Standardized Payment Amount |
773617.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
8990 |
Number Of Medicare Beneficiaries With Medical Services |
536 |
Total Medical Submitted Charge Amount |
621455 |
Total Medical Medicare Allowed Amount |
372745.6 |
Total Medical Medicare Payment Amount |
286676.55 |
Total Medical Medicare Standardized Payment Amount |
274747.25 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
100 |
Number Of Beneficiaries Age 65 to 74 |
203 |
Number Of Beneficiaries Age 75 to 84 |
164 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
359 |
Number Of Male Beneficiaries |
177 |
Number Of Non Hispanic White Beneficiaries |
486 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
352 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
184 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.0043 |