National Provider Identifier [NPI]: |
1649288416 |
Last Name Of The Provider |
VOROBIOF |
First Name Of The Provider |
GABRIEL |
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 |
333 CEDAR ST |
Street Address 2 Of The Provider |
MRC 147 |
City Of The Provider |
NEW HAVEN |
Zip Code Of The Provider |
065103206 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
3521 |
Number Of Medicare Beneficiaries |
1539 |
Total Submitted Charge Amount |
1771487.06 |
Total Medicare Allowed Amount |
351578.9 |
Total Medicare Payment Amount |
271009.48 |
Total Medicare Standardized Payment Amount |
248562.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
389 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
108185 |
Total Drug Medicare AllowedAmount |
20642.99 |
Total Drug Medicare PaymentAmount |
16183.9 |
Total Drug Medicare Standardized Payment Amount |
16183.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
3132 |
Number Of Medicare Beneficiaries With Medical Services |
1539 |
Total Medical Submitted Charge Amount |
1663302.06 |
Total Medical Medicare Allowed Amount |
330935.91 |
Total Medical Medicare Payment Amount |
254825.58 |
Total Medical Medicare Standardized Payment Amount |
232378.96 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
276 |
Number Of Beneficiaries Age 65 to 74 |
594 |
Number Of Beneficiaries Age 75 to 84 |
434 |
Number Of Beneficiaries Age Greater 84 |
235 |
Number Of Female Beneficiaries |
750 |
Number Of Male Beneficiaries |
789 |
Number Of Non Hispanic White Beneficiaries |
921 |
Number Of Black or African American Beneficiaries |
151 |
Number Of AsianPacific Islander Beneficiaries |
195 |
Number Of Hispanic Beneficiaries |
228 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
960 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
579 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.2898 |