National Provider Identifier [NPI]: |
1801890397 |
Last Name Of The Provider |
CONTI |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
537 STANTON CHRISTIANA RD |
Street Address 2 Of The Provider |
SUITE # 107 |
City Of The Provider |
NEWARK |
Zip Code Of The Provider |
197132146 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
11679 |
Number Of Medicare Beneficiaries |
1804 |
Total Submitted Charge Amount |
3949852 |
Total Medicare Allowed Amount |
2210874.34 |
Total Medicare Payment Amount |
1697176.82 |
Total Medicare Standardized Payment Amount |
1615950.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
57 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
13140 |
Total Drug Medicare AllowedAmount |
11128.15 |
Total Drug Medicare PaymentAmount |
8715.26 |
Total Drug Medicare Standardized Payment Amount |
8715.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
11622 |
Number Of Medicare Beneficiaries With Medical Services |
1804 |
Total Medical Submitted Charge Amount |
3936712 |
Total Medical Medicare Allowed Amount |
2199746.19 |
Total Medical Medicare Payment Amount |
1688461.56 |
Total Medical Medicare Standardized Payment Amount |
1607234.86 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
811 |
Number Of Beneficiaries Age 75 to 84 |
656 |
Number Of Beneficiaries Age Greater 84 |
291 |
Number Of Female Beneficiaries |
789 |
Number Of Male Beneficiaries |
1015 |
Number Of Non Hispanic White Beneficiaries |
1759 |
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 |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
1749 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0707 |