National Provider Identifier [NPI]: |
1457510687 |
Last Name Of The Provider |
COLINA-BISCOTTO |
First Name Of The Provider |
JUNER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2200 WHITNEY AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
HAMDEN |
Zip Code Of The Provider |
065183691 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
13028 |
Number Of Medicare Beneficiaries |
939 |
Total Submitted Charge Amount |
5121279.7 |
Total Medicare Allowed Amount |
2917649.73 |
Total Medicare Payment Amount |
2259133.98 |
Total Medicare Standardized Payment Amount |
2211747.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
5004 |
Number Of Medicare Beneficiaries With Drug Services |
375 |
Total Drug Submitted ChargeAmount |
2931311.2 |
Total Drug Medicare AllowedAmount |
2055600.34 |
Total Drug Medicare PaymentAmount |
1602386.39 |
Total Drug Medicare Standardized Payment Amount |
1602386.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
8024 |
Number Of Medicare Beneficiaries With Medical Services |
939 |
Total Medical Submitted Charge Amount |
2189968.5 |
Total Medical Medicare Allowed Amount |
862049.39 |
Total Medical Medicare Payment Amount |
656747.59 |
Total Medical Medicare Standardized Payment Amount |
609360.62 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
293 |
Number Of Beneficiaries Age 75 to 84 |
299 |
Number Of Beneficiaries Age Greater 84 |
261 |
Number Of Female Beneficiaries |
532 |
Number Of Male Beneficiaries |
407 |
Number Of Non Hispanic White Beneficiaries |
838 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
685 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
254 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5455 |