National Provider Identifier [NPI]: |
1144415514 |
Last Name Of The Provider |
ARCUNI |
First Name Of The Provider |
SUZANNE |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
APRN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
147 WESTBROOK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ESSEX |
Zip Code Of The Provider |
064261512 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
783 |
Number Of Medicare Beneficiaries |
204 |
Total Submitted Charge Amount |
72714 |
Total Medicare Allowed Amount |
35999.03 |
Total Medicare Payment Amount |
24729.62 |
Total Medicare Standardized Payment Amount |
27361.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
122 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
3339.2 |
Total Drug Medicare AllowedAmount |
1319.62 |
Total Drug Medicare PaymentAmount |
1105.96 |
Total Drug Medicare Standardized Payment Amount |
1105.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
661 |
Number Of Medicare Beneficiaries With Medical Services |
204 |
Total Medical Submitted Charge Amount |
69374.8 |
Total Medical Medicare Allowed Amount |
34679.41 |
Total Medical Medicare Payment Amount |
23623.66 |
Total Medical Medicare Standardized Payment Amount |
26255.25 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
73 |
Number Of Beneficiaries Age 75 to 84 |
58 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
142 |
Number Of Male Beneficiaries |
62 |
Number Of Non Hispanic White Beneficiaries |
192 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
143 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0919 |