National Provider Identifier [NPI]: |
1003806456 |
Last Name Of The Provider |
CORDIDO |
First Name Of The Provider |
RICARDO |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2200 WHITNEY AVE |
Street Address 2 Of The Provider |
SUITE 180 |
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 |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
5998 |
Number Of Medicare Beneficiaries |
941 |
Total Submitted Charge Amount |
1805396.52 |
Total Medicare Allowed Amount |
669981.67 |
Total Medicare Payment Amount |
510215.36 |
Total Medicare Standardized Payment Amount |
480461.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
528 |
Number Of Medicare Beneficiaries With Drug Services |
125 |
Total Drug Submitted ChargeAmount |
60035 |
Total Drug Medicare AllowedAmount |
26513.21 |
Total Drug Medicare PaymentAmount |
20641.34 |
Total Drug Medicare Standardized Payment Amount |
20641.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
5470 |
Number Of Medicare Beneficiaries With Medical Services |
941 |
Total Medical Submitted Charge Amount |
1745361.52 |
Total Medical Medicare Allowed Amount |
643468.46 |
Total Medical Medicare Payment Amount |
489574.02 |
Total Medical Medicare Standardized Payment Amount |
459820.47 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
300 |
Number Of Beneficiaries Age 75 to 84 |
322 |
Number Of Beneficiaries Age Greater 84 |
236 |
Number Of Female Beneficiaries |
537 |
Number Of Male Beneficiaries |
404 |
Number Of Non Hispanic White Beneficiaries |
749 |
Number Of Black or African American Beneficiaries |
71 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
100 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
641 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
300 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6383 |