National Provider Identifier [NPI]: |
1851384184 |
Last Name Of The Provider |
CONTE |
First Name Of The Provider |
CORINNE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 ROSS PARK BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
STEUBENVILLE |
Zip Code Of The Provider |
439522681 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
828 |
Number Of Medicare Beneficiaries |
210 |
Total Submitted Charge Amount |
66012 |
Total Medicare Allowed Amount |
45161.96 |
Total Medicare Payment Amount |
30858.72 |
Total Medicare Standardized Payment Amount |
32486.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
127 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
2921 |
Total Drug Medicare AllowedAmount |
2033.77 |
Total Drug Medicare PaymentAmount |
1951.1 |
Total Drug Medicare Standardized Payment Amount |
1951.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
701 |
Number Of Medicare Beneficiaries With Medical Services |
210 |
Total Medical Submitted Charge Amount |
63091 |
Total Medical Medicare Allowed Amount |
43128.19 |
Total Medical Medicare Payment Amount |
28907.62 |
Total Medical Medicare Standardized Payment Amount |
30535.38 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
69 |
Number Of Beneficiaries Age 75 to 84 |
51 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
167 |
Number Of Male Beneficiaries |
43 |
Number Of Non Hispanic White Beneficiaries |
176 |
Number Of Black or African American Beneficiaries |
|
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 |
122 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
88 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1954 |