National Provider Identifier [NPI]: |
1053307421 |
Last Name Of The Provider |
HUGHES |
First Name Of The Provider |
TERENCE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
267 GRANT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRIDGEPORT |
Zip Code Of The Provider |
066102805 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
220 |
Number Of Services |
16080 |
Number Of Medicare Beneficiaries |
1854 |
Total Submitted Charge Amount |
1057936 |
Total Medicare Allowed Amount |
292810.05 |
Total Medicare Payment Amount |
226275.07 |
Total Medicare Standardized Payment Amount |
213098.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
13033 |
Number Of Medicare Beneficiaries With Drug Services |
123 |
Total Drug Submitted ChargeAmount |
13101 |
Total Drug Medicare AllowedAmount |
2389.6 |
Total Drug Medicare PaymentAmount |
1873.43 |
Total Drug Medicare Standardized Payment Amount |
1873.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
217 |
Number Of Medical Services |
3047 |
Number Of Medicare Beneficiaries With Medical Services |
1854 |
Total Medical Submitted Charge Amount |
1044835 |
Total Medical Medicare Allowed Amount |
290420.45 |
Total Medical Medicare Payment Amount |
224401.64 |
Total Medical Medicare Standardized Payment Amount |
211225.56 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
292 |
Number Of Beneficiaries Age 65 to 74 |
639 |
Number Of Beneficiaries Age 75 to 84 |
563 |
Number Of Beneficiaries Age Greater 84 |
360 |
Number Of Female Beneficiaries |
1058 |
Number Of Male Beneficiaries |
796 |
Number Of Non Hispanic White Beneficiaries |
1332 |
Number Of Black or African American Beneficiaries |
269 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
205 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1201 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
653 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.0282 |