National Provider Identifier [NPI]: |
1093895252 |
Last Name Of The Provider |
FRIEDMAN |
First Name Of The Provider |
FRANKLIN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
330 WASHINGTON STREET |
Street Address 2 Of The Provider |
SUITE 350 |
City Of The Provider |
NORWICH |
Zip Code Of The Provider |
063602700 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
4898 |
Number Of Medicare Beneficiaries |
1236 |
Total Submitted Charge Amount |
841330.76 |
Total Medicare Allowed Amount |
312764.26 |
Total Medicare Payment Amount |
232350.71 |
Total Medicare Standardized Payment Amount |
231090.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
284 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
70405 |
Total Drug Medicare AllowedAmount |
44437.52 |
Total Drug Medicare PaymentAmount |
33057.22 |
Total Drug Medicare Standardized Payment Amount |
33057.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
4614 |
Number Of Medicare Beneficiaries With Medical Services |
1236 |
Total Medical Submitted Charge Amount |
770925.76 |
Total Medical Medicare Allowed Amount |
268326.74 |
Total Medical Medicare Payment Amount |
199293.49 |
Total Medical Medicare Standardized Payment Amount |
198032.81 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
476 |
Number Of Beneficiaries Age 75 to 84 |
455 |
Number Of Beneficiaries Age Greater 84 |
234 |
Number Of Female Beneficiaries |
216 |
Number Of Male Beneficiaries |
1020 |
Number Of Non Hispanic White Beneficiaries |
1141 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
1040 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
196 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.323 |