National Provider Identifier [NPI]: |
1003897687 |
Last Name Of The Provider |
FRIMMER |
First Name Of The Provider |
HEATHER |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
148 EAST AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORWALK |
Zip Code Of The Provider |
068515721 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
154 |
Number Of Services |
6087 |
Number Of Medicare Beneficiaries |
3589 |
Total Submitted Charge Amount |
646208 |
Total Medicare Allowed Amount |
163501.13 |
Total Medicare Payment Amount |
126483.09 |
Total Medicare Standardized Payment Amount |
120558.4 |
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 |
154 |
Number Of Medical Services |
6087 |
Number Of Medicare Beneficiaries With Medical Services |
3589 |
Total Medical Submitted Charge Amount |
646208 |
Total Medical Medicare Allowed Amount |
163501.13 |
Total Medical Medicare Payment Amount |
126483.09 |
Total Medical Medicare Standardized Payment Amount |
120558.4 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
295 |
Number Of Beneficiaries Age 65 to 74 |
1391 |
Number Of Beneficiaries Age 75 to 84 |
1143 |
Number Of Beneficiaries Age Greater 84 |
760 |
Number Of Female Beneficiaries |
2505 |
Number Of Male Beneficiaries |
1084 |
Number Of Non Hispanic White Beneficiaries |
2999 |
Number Of Black or African American Beneficiaries |
262 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
194 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
79 |
Number Of Beneficiaries With Medicare Only Entitlement |
2800 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
789 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3546 |