National Provider Identifier [NPI]: |
1952359515 |
Last Name Of The Provider |
SCARANGELLA |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
150 MANSFIELD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WILLIMANTIC |
Zip Code Of The Provider |
062262026 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
143 |
Number Of Services |
2354 |
Number Of Medicare Beneficiaries |
571 |
Total Submitted Charge Amount |
883702 |
Total Medicare Allowed Amount |
247432.45 |
Total Medicare Payment Amount |
188752.21 |
Total Medicare Standardized Payment Amount |
178849.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
473 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
41205 |
Total Drug Medicare AllowedAmount |
18094.48 |
Total Drug Medicare PaymentAmount |
14171.36 |
Total Drug Medicare Standardized Payment Amount |
14171.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
139 |
Number Of Medical Services |
1881 |
Number Of Medicare Beneficiaries With Medical Services |
571 |
Total Medical Submitted Charge Amount |
842497 |
Total Medical Medicare Allowed Amount |
229337.97 |
Total Medical Medicare Payment Amount |
174580.85 |
Total Medical Medicare Standardized Payment Amount |
164677.7 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
100 |
Number Of Beneficiaries Age 65 to 74 |
205 |
Number Of Beneficiaries Age 75 to 84 |
182 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
335 |
Number Of Male Beneficiaries |
236 |
Number Of Non Hispanic White Beneficiaries |
510 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
398 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
173 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.1608 |