National Provider Identifier [NPI]: |
1366436537 |
Last Name Of The Provider |
MONACO |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2690 WHITNEY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAMDEN |
Zip Code Of The Provider |
065182924 |
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 |
60 |
Number Of Services |
4079 |
Number Of Medicare Beneficiaries |
902 |
Total Submitted Charge Amount |
690874.54 |
Total Medicare Allowed Amount |
327418.74 |
Total Medicare Payment Amount |
244896.87 |
Total Medicare Standardized Payment Amount |
229419.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
237 |
Number Of Medicare Beneficiaries With Drug Services |
215 |
Total Drug Submitted ChargeAmount |
12486.34 |
Total Drug Medicare AllowedAmount |
6932.9 |
Total Drug Medicare PaymentAmount |
6774.5 |
Total Drug Medicare Standardized Payment Amount |
6774.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
3842 |
Number Of Medicare Beneficiaries With Medical Services |
902 |
Total Medical Submitted Charge Amount |
678388.2 |
Total Medical Medicare Allowed Amount |
320485.84 |
Total Medical Medicare Payment Amount |
238122.37 |
Total Medical Medicare Standardized Payment Amount |
222644.7 |
Average Age Of Beneficiaries |
82 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
165 |
Number Of Beneficiaries Age 75 to 84 |
248 |
Number Of Beneficiaries Age Greater 84 |
433 |
Number Of Female Beneficiaries |
537 |
Number Of Male Beneficiaries |
365 |
Number Of Non Hispanic White Beneficiaries |
818 |
Number Of Black or African American Beneficiaries |
55 |
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 |
585 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
317 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
37 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6911 |