National Provider Identifier [NPI]: |
1356346779 |
Last Name Of The Provider |
FEINGOLD |
First Name Of The Provider |
DAVID |
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 |
701 COTTAGE GROVE RD |
Street Address 2 Of The Provider |
STE F120 |
City Of The Provider |
BLOOMFIELD |
Zip Code Of The Provider |
060023095 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
67144 |
Number Of Medicare Beneficiaries |
344 |
Total Submitted Charge Amount |
1384139.54 |
Total Medicare Allowed Amount |
769426.89 |
Total Medicare Payment Amount |
585984.53 |
Total Medicare Standardized Payment Amount |
560987.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
63516 |
Number Of Medicare Beneficiaries With Drug Services |
124 |
Total Drug Submitted ChargeAmount |
833614 |
Total Drug Medicare AllowedAmount |
509280 |
Total Drug Medicare PaymentAmount |
395391.66 |
Total Drug Medicare Standardized Payment Amount |
395391.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
3628 |
Number Of Medicare Beneficiaries With Medical Services |
344 |
Total Medical Submitted Charge Amount |
550525.54 |
Total Medical Medicare Allowed Amount |
260146.89 |
Total Medical Medicare Payment Amount |
190592.87 |
Total Medical Medicare Standardized Payment Amount |
165595.81 |
Average Age Of Beneficiaries |
56 |
Number Of Beneficiaries Age Less65 |
223 |
Number Of Beneficiaries Age 65 to 74 |
69 |
Number Of Beneficiaries Age 75 to 84 |
40 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
204 |
Number Of Male Beneficiaries |
140 |
Number Of Non Hispanic White Beneficiaries |
259 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
108 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
236 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
42 |
Percent Of With Ischemic Heart Disease |
17 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.647 |