National Provider Identifier [NPI]: |
1013024736 |
Last Name Of The Provider |
NEUBERGER |
First Name Of The Provider |
SANTI |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1290 SUMMER ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
STAMFORD |
Zip Code Of The Provider |
069055360 |
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 |
66 |
Number Of Services |
2362 |
Number Of Medicare Beneficiaries |
444 |
Total Submitted Charge Amount |
275476.37 |
Total Medicare Allowed Amount |
200660.19 |
Total Medicare Payment Amount |
148342.84 |
Total Medicare Standardized Payment Amount |
133857.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
110 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
3527 |
Total Drug Medicare AllowedAmount |
1614.7 |
Total Drug Medicare PaymentAmount |
1539.08 |
Total Drug Medicare Standardized Payment Amount |
1539.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
2252 |
Number Of Medicare Beneficiaries With Medical Services |
444 |
Total Medical Submitted Charge Amount |
271949.37 |
Total Medical Medicare Allowed Amount |
199045.49 |
Total Medical Medicare Payment Amount |
146803.76 |
Total Medical Medicare Standardized Payment Amount |
132318.82 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
171 |
Number Of Beneficiaries Age 75 to 84 |
147 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
244 |
Number Of Male Beneficiaries |
200 |
Number Of Non Hispanic White Beneficiaries |
402 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
371 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2221 |