National Provider Identifier [NPI]: |
1831282607 |
Last Name Of The Provider |
SOLOWAY |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
435 FOXON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTH BRANFORD |
Zip Code Of The Provider |
064711140 |
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 |
20 |
Number Of Services |
3168 |
Number Of Medicare Beneficiaries |
1650 |
Total Submitted Charge Amount |
808745 |
Total Medicare Allowed Amount |
478623.36 |
Total Medicare Payment Amount |
342977.78 |
Total Medicare Standardized Payment Amount |
332898.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
3168 |
Number Of Medicare Beneficiaries With Medical Services |
1650 |
Total Medical Submitted Charge Amount |
808745 |
Total Medical Medicare Allowed Amount |
478623.36 |
Total Medical Medicare Payment Amount |
342977.78 |
Total Medical Medicare Standardized Payment Amount |
332898.09 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
480 |
Number Of Beneficiaries Age 75 to 84 |
637 |
Number Of Beneficiaries Age Greater 84 |
499 |
Number Of Female Beneficiaries |
1035 |
Number Of Male Beneficiaries |
615 |
Number Of Non Hispanic White Beneficiaries |
1571 |
Number Of Black or African American Beneficiaries |
34 |
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 |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
1494 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
156 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0993 |