National Provider Identifier [NPI]: |
1306801360 |
Last Name Of The Provider |
SPIELBERG |
First Name Of The Provider |
MELVIN |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
148 NORTH RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
EAST WINDSOR |
Zip Code Of The Provider |
060889502 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
1392 |
Number Of Medicare Beneficiaries |
244 |
Total Submitted Charge Amount |
93288 |
Total Medicare Allowed Amount |
75567.71 |
Total Medicare Payment Amount |
49313.28 |
Total Medicare Standardized Payment Amount |
46289.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
71 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
1740 |
Total Drug Medicare AllowedAmount |
1343.2 |
Total Drug Medicare PaymentAmount |
1316.19 |
Total Drug Medicare Standardized Payment Amount |
1316.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
1321 |
Number Of Medicare Beneficiaries With Medical Services |
244 |
Total Medical Submitted Charge Amount |
91548 |
Total Medical Medicare Allowed Amount |
74224.51 |
Total Medical Medicare Payment Amount |
47997.09 |
Total Medical Medicare Standardized Payment Amount |
44973.67 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
105 |
Number Of Beneficiaries Age 75 to 84 |
79 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
127 |
Number Of Male Beneficiaries |
117 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
208 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
7 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
29 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
23 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8662 |