National Provider Identifier [NPI]: |
1568404267 |
Last Name Of The Provider |
OBERSTEIN |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD, FACE |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 RETREAT AVE |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
HARTFORD |
Zip Code Of The Provider |
061062528 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
6269 |
Number Of Medicare Beneficiaries |
762 |
Total Submitted Charge Amount |
381988 |
Total Medicare Allowed Amount |
211894.52 |
Total Medicare Payment Amount |
162074.9 |
Total Medicare Standardized Payment Amount |
155000.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3264 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
80016 |
Total Drug Medicare AllowedAmount |
50877.09 |
Total Drug Medicare PaymentAmount |
39702.76 |
Total Drug Medicare Standardized Payment Amount |
39702.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
3005 |
Number Of Medicare Beneficiaries With Medical Services |
762 |
Total Medical Submitted Charge Amount |
301972 |
Total Medical Medicare Allowed Amount |
161017.43 |
Total Medical Medicare Payment Amount |
122372.14 |
Total Medical Medicare Standardized Payment Amount |
115297.64 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
376 |
Number Of Beneficiaries Age 75 to 84 |
210 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
500 |
Number Of Male Beneficiaries |
262 |
Number Of Non Hispanic White Beneficiaries |
652 |
Number Of Black or African American Beneficiaries |
57 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
600 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
162 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7002 |