National Provider Identifier [NPI]: |
1164525069 |
Last Name Of The Provider |
SILVERSTONE |
First Name Of The Provider |
PHILIP |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
202 CHERRY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MILFORD |
Zip Code Of The Provider |
064603502 |
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 |
60 |
Number Of Services |
7101 |
Number Of Medicare Beneficiaries |
1293 |
Total Submitted Charge Amount |
774660 |
Total Medicare Allowed Amount |
390894.25 |
Total Medicare Payment Amount |
285388.68 |
Total Medicare Standardized Payment Amount |
257319.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4302 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
42795 |
Total Drug Medicare AllowedAmount |
23537.14 |
Total Drug Medicare PaymentAmount |
16434.77 |
Total Drug Medicare Standardized Payment Amount |
16434.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
2799 |
Number Of Medicare Beneficiaries With Medical Services |
1293 |
Total Medical Submitted Charge Amount |
731865 |
Total Medical Medicare Allowed Amount |
367357.11 |
Total Medical Medicare Payment Amount |
268953.91 |
Total Medical Medicare Standardized Payment Amount |
240884.55 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
551 |
Number Of Beneficiaries Age 75 to 84 |
436 |
Number Of Beneficiaries Age Greater 84 |
227 |
Number Of Female Beneficiaries |
823 |
Number Of Male Beneficiaries |
470 |
Number Of Non Hispanic White Beneficiaries |
1189 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1095 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
198 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0823 |