National Provider Identifier [NPI]: |
1356384705 |
Last Name Of The Provider |
CALVO |
First Name Of The Provider |
RICARDO |
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 |
2 LINCOLN HWY |
Street Address 2 Of The Provider |
SUITE 410 |
City Of The Provider |
EDISON |
Zip Code Of The Provider |
088203961 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
2179 |
Number Of Medicare Beneficiaries |
807 |
Total Submitted Charge Amount |
248815 |
Total Medicare Allowed Amount |
138371.41 |
Total Medicare Payment Amount |
100928.25 |
Total Medicare Standardized Payment Amount |
86673.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
32 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
1000 |
Total Drug Medicare AllowedAmount |
443.24 |
Total Drug Medicare PaymentAmount |
434.4 |
Total Drug Medicare Standardized Payment Amount |
434.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
2147 |
Number Of Medicare Beneficiaries With Medical Services |
807 |
Total Medical Submitted Charge Amount |
247815 |
Total Medical Medicare Allowed Amount |
137928.17 |
Total Medical Medicare Payment Amount |
100493.85 |
Total Medical Medicare Standardized Payment Amount |
86238.64 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
247 |
Number Of Beneficiaries Age 75 to 84 |
263 |
Number Of Beneficiaries Age Greater 84 |
200 |
Number Of Female Beneficiaries |
439 |
Number Of Male Beneficiaries |
368 |
Number Of Non Hispanic White Beneficiaries |
491 |
Number Of Black or African American Beneficiaries |
133 |
Number Of AsianPacific Islander Beneficiaries |
46 |
Number Of Hispanic Beneficiaries |
119 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
602 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
205 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
1.9312 |