Medicare Facts for Dr. Gregory L. Shangold, MD


National Provider Identifier [NPI]: 1770540262
Last Name Of The Provider SHANGOLD
First Name Of The Provider GREGORY
Middle Initial Of The Provider L
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 112 MANSFIELD AVE
Street Address 2 Of The Provider WINDHAM HOSPITAL
City Of The Provider WILLIMANTIC
Zip Code Of The Provider 062262041
State Code Of The Provider CT
Country Code Of The Provider US
Provider Type Of The Provider Emergency Medicine
Medicare Participation Indicator Y
Number Of HCPCS 26
Number Of Services 592
Number Of Medicare Beneficiaries 440
Total Submitted Charge Amount 316089
Total Medicare Allowed Amount 81907.08
Total Medicare Payment Amount 62215.98
Total Medicare Standardized Payment Amount 59029.81
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 26
Number Of Medical Services 592
Number Of Medicare Beneficiaries With Medical Services 440
Total Medical Submitted Charge Amount 316089
Total Medical Medicare Allowed Amount 81907.08
Total Medical Medicare Payment Amount 62215.98
Total Medical Medicare Standardized Payment Amount 59029.81
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 131
Number Of Beneficiaries Age 65 to 74 117
Number Of Beneficiaries Age 75 to 84 103
Number Of Beneficiaries Age Greater 84 89
Number Of Female Beneficiaries 237
Number Of Male Beneficiaries 203
Number Of Non Hispanic White Beneficiaries 348
Number Of Black or African American Beneficiaries 22
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 59
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 204
Number Of Beneficiaries With Medicare Medicaid Entitlement 236
Percent Of With Atrial Fibrillation 20
Percent Of With Alzheimers Disease or Dementia 25
Percent Of With Asthma 21
Percent Of With Cancer 13
Percent Of With Heart Failure 42
Percent Of With Chronic Kidney Disease 42
Percent Of With Chronic Obstructive Pulmonary Disease 32
Percent Of With Depression 44
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 48
Percent Of With Osteoporosis 15
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 17
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 2.1316

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