National Provider Identifier [NPI]: |
1356385868 |
Last Name Of The Provider |
AHERN |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
77 DANBURY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
RIDGEFIELD |
Zip Code Of The Provider |
068774029 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
2533 |
Number Of Medicare Beneficiaries |
528 |
Total Submitted Charge Amount |
347475 |
Total Medicare Allowed Amount |
214608.31 |
Total Medicare Payment Amount |
165901.68 |
Total Medicare Standardized Payment Amount |
158046.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
196 |
Number Of Medicare Beneficiaries With Drug Services |
166 |
Total Drug Submitted ChargeAmount |
13581 |
Total Drug Medicare AllowedAmount |
11789.6 |
Total Drug Medicare PaymentAmount |
11509.82 |
Total Drug Medicare Standardized Payment Amount |
11509.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
2337 |
Number Of Medicare Beneficiaries With Medical Services |
528 |
Total Medical Submitted Charge Amount |
333894 |
Total Medical Medicare Allowed Amount |
202818.71 |
Total Medical Medicare Payment Amount |
154391.86 |
Total Medical Medicare Standardized Payment Amount |
146536.74 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
264 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
98 |
Number Of Female Beneficiaries |
261 |
Number Of Male Beneficiaries |
267 |
Number Of Non Hispanic White Beneficiaries |
485 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
507 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9561 |