National Provider Identifier [NPI]: |
1306909742 |
Last Name Of The Provider |
ARNOLD |
First Name Of The Provider |
CATHARINE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
385 CHURCH ST |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
GUILFORD |
Zip Code Of The Provider |
064372003 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
21332 |
Number Of Medicare Beneficiaries |
842 |
Total Submitted Charge Amount |
1215940 |
Total Medicare Allowed Amount |
978897.5 |
Total Medicare Payment Amount |
756836.97 |
Total Medicare Standardized Payment Amount |
739458.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
17707 |
Number Of Medicare Beneficiaries With Drug Services |
212 |
Total Drug Submitted ChargeAmount |
809350 |
Total Drug Medicare AllowedAmount |
690786.34 |
Total Drug Medicare PaymentAmount |
540639.8 |
Total Drug Medicare Standardized Payment Amount |
540639.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
3625 |
Number Of Medicare Beneficiaries With Medical Services |
842 |
Total Medical Submitted Charge Amount |
406590 |
Total Medical Medicare Allowed Amount |
288111.16 |
Total Medical Medicare Payment Amount |
216197.17 |
Total Medical Medicare Standardized Payment Amount |
198818.96 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
360 |
Number Of Beneficiaries Age 75 to 84 |
260 |
Number Of Beneficiaries Age Greater 84 |
181 |
Number Of Female Beneficiaries |
628 |
Number Of Male Beneficiaries |
214 |
Number Of Non Hispanic White Beneficiaries |
805 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
755 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0571 |