National Provider Identifier [NPI]: |
1619971314 |
Last Name Of The Provider |
ABADI |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1076 NORTH MAIN STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
PROVIDENCE |
Zip Code Of The Provider |
02904 |
State Code Of The Provider |
RI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
3383 |
Number Of Medicare Beneficiaries |
1060 |
Total Submitted Charge Amount |
891371.75 |
Total Medicare Allowed Amount |
336173.46 |
Total Medicare Payment Amount |
247584.46 |
Total Medicare Standardized Payment Amount |
242015.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
63 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
4572.75 |
Total Drug Medicare AllowedAmount |
3021.04 |
Total Drug Medicare PaymentAmount |
2368.44 |
Total Drug Medicare Standardized Payment Amount |
2368.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
3320 |
Number Of Medicare Beneficiaries With Medical Services |
1060 |
Total Medical Submitted Charge Amount |
886799 |
Total Medical Medicare Allowed Amount |
333152.42 |
Total Medical Medicare Payment Amount |
245216.02 |
Total Medical Medicare Standardized Payment Amount |
239647.07 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
378 |
Number Of Beneficiaries Age 75 to 84 |
376 |
Number Of Beneficiaries Age Greater 84 |
229 |
Number Of Female Beneficiaries |
543 |
Number Of Male Beneficiaries |
517 |
Number Of Non Hispanic White Beneficiaries |
958 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
910 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
150 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4638 |