National Provider Identifier [NPI]: |
1720064504 |
Last Name Of The Provider |
CAHN |
First Name Of The Provider |
CHARLES |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16 HOSPITAL AVE |
Street Address 2 Of The Provider |
SUITE 402 |
City Of The Provider |
DANBURY |
Zip Code Of The Provider |
068105927 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
1687 |
Number Of Medicare Beneficiaries |
148 |
Total Submitted Charge Amount |
155783 |
Total Medicare Allowed Amount |
107495.25 |
Total Medicare Payment Amount |
81441.39 |
Total Medicare Standardized Payment Amount |
76307.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
94 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
2960 |
Total Drug Medicare AllowedAmount |
1910.24 |
Total Drug Medicare PaymentAmount |
1798.6 |
Total Drug Medicare Standardized Payment Amount |
1798.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
1593 |
Number Of Medicare Beneficiaries With Medical Services |
148 |
Total Medical Submitted Charge Amount |
152823 |
Total Medical Medicare Allowed Amount |
105585.01 |
Total Medical Medicare Payment Amount |
79642.79 |
Total Medical Medicare Standardized Payment Amount |
74508.61 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
63 |
Number Of Beneficiaries Age 75 to 84 |
45 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
75 |
Number Of Male Beneficiaries |
73 |
Number Of Non Hispanic White Beneficiaries |
99 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
92 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
27 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.968 |