National Provider Identifier [NPI]: |
1649263294 |
Last Name Of The Provider |
BARON |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7 ELM ST |
Street Address 2 Of The Provider |
STE 201 |
City Of The Provider |
ENFIELD |
Zip Code Of The Provider |
060823669 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
4446 |
Number Of Medicare Beneficiaries |
923 |
Total Submitted Charge Amount |
1023798.74 |
Total Medicare Allowed Amount |
392715.47 |
Total Medicare Payment Amount |
294637.5 |
Total Medicare Standardized Payment Amount |
277610.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
292 |
Number Of Medicare Beneficiaries With Drug Services |
73 |
Total Drug Submitted ChargeAmount |
16315.5 |
Total Drug Medicare AllowedAmount |
15462.25 |
Total Drug Medicare PaymentAmount |
12054.51 |
Total Drug Medicare Standardized Payment Amount |
12054.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
4154 |
Number Of Medicare Beneficiaries With Medical Services |
923 |
Total Medical Submitted Charge Amount |
1007483.24 |
Total Medical Medicare Allowed Amount |
377253.22 |
Total Medical Medicare Payment Amount |
282582.99 |
Total Medical Medicare Standardized Payment Amount |
265555.99 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
265 |
Number Of Beneficiaries Age 75 to 84 |
344 |
Number Of Beneficiaries Age Greater 84 |
254 |
Number Of Female Beneficiaries |
519 |
Number Of Male Beneficiaries |
404 |
Number Of Non Hispanic White Beneficiaries |
832 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
694 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
229 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6891 |