National Provider Identifier [NPI]: |
1477578607 |
Last Name Of The Provider |
TORRES |
First Name Of The Provider |
OMAR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
182 SOUTH ST |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
MORRISTOWN |
Zip Code Of The Provider |
079605377 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
2902 |
Number Of Medicare Beneficiaries |
1083 |
Total Submitted Charge Amount |
1562370.31 |
Total Medicare Allowed Amount |
1400015.01 |
Total Medicare Payment Amount |
1080064.93 |
Total Medicare Standardized Payment Amount |
958831.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
48 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
792.73 |
Total Drug Medicare AllowedAmount |
277.49 |
Total Drug Medicare PaymentAmount |
97.49 |
Total Drug Medicare Standardized Payment Amount |
97.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
2854 |
Number Of Medicare Beneficiaries With Medical Services |
1083 |
Total Medical Submitted Charge Amount |
1561577.58 |
Total Medical Medicare Allowed Amount |
1399737.52 |
Total Medical Medicare Payment Amount |
1079967.44 |
Total Medical Medicare Standardized Payment Amount |
958734.12 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
477 |
Number Of Beneficiaries Age 75 to 84 |
391 |
Number Of Beneficiaries Age Greater 84 |
150 |
Number Of Female Beneficiaries |
494 |
Number Of Male Beneficiaries |
589 |
Number Of Non Hispanic White Beneficiaries |
947 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
97 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
975 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
108 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0372 |