National Provider Identifier [NPI]: |
1962420570 |
Last Name Of The Provider |
KLUGER |
First Name Of The Provider |
JEFFREY |
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 |
80 SEYMOUR STREET |
Street Address 2 Of The Provider |
HARTFORD HOSPITAL CARDIOLOGY DEPT |
City Of The Provider |
HARTFORD |
Zip Code Of The Provider |
06102 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
4742 |
Number Of Medicare Beneficiaries |
1994 |
Total Submitted Charge Amount |
541312 |
Total Medicare Allowed Amount |
225526.36 |
Total Medicare Payment Amount |
163215.87 |
Total Medicare Standardized Payment Amount |
154293.36 |
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 |
38 |
Number Of Medical Services |
4742 |
Number Of Medicare Beneficiaries With Medical Services |
1994 |
Total Medical Submitted Charge Amount |
541312 |
Total Medical Medicare Allowed Amount |
225526.36 |
Total Medical Medicare Payment Amount |
163215.87 |
Total Medical Medicare Standardized Payment Amount |
154293.36 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
156 |
Number Of Beneficiaries Age 65 to 74 |
521 |
Number Of Beneficiaries Age 75 to 84 |
706 |
Number Of Beneficiaries Age Greater 84 |
611 |
Number Of Female Beneficiaries |
834 |
Number Of Male Beneficiaries |
1160 |
Number Of Non Hispanic White Beneficiaries |
1764 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
94 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
1483 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
511 |
Percent Of With Atrial Fibrillation |
53 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.9483 |