National Provider Identifier [NPI]: |
1235126772 |
Last Name Of The Provider |
CONTE |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
703 MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PATERSON |
Zip Code Of The Provider |
075032621 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
3243 |
Number Of Medicare Beneficiaries |
1845 |
Total Submitted Charge Amount |
232744 |
Total Medicare Allowed Amount |
64152.67 |
Total Medicare Payment Amount |
48566.42 |
Total Medicare Standardized Payment Amount |
45080.86 |
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 |
98 |
Number Of Medical Services |
3243 |
Number Of Medicare Beneficiaries With Medical Services |
1845 |
Total Medical Submitted Charge Amount |
232744 |
Total Medical Medicare Allowed Amount |
64152.67 |
Total Medical Medicare Payment Amount |
48566.42 |
Total Medical Medicare Standardized Payment Amount |
45080.86 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
335 |
Number Of Beneficiaries Age 65 to 74 |
598 |
Number Of Beneficiaries Age 75 to 84 |
534 |
Number Of Beneficiaries Age Greater 84 |
378 |
Number Of Female Beneficiaries |
1037 |
Number Of Male Beneficiaries |
808 |
Number Of Non Hispanic White Beneficiaries |
870 |
Number Of Black or African American Beneficiaries |
369 |
Number Of AsianPacific Islander Beneficiaries |
55 |
Number Of Hispanic Beneficiaries |
528 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1002 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
843 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.4052 |