National Provider Identifier [NPI]: |
1952400970 |
Last Name Of The Provider |
CURLEY |
First Name Of The Provider |
TIMOTHY |
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 |
85 SEYMOUR ST |
Street Address 2 Of The Provider |
STE 900 |
City Of The Provider |
HARTFORD |
Zip Code Of The Provider |
061065501 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
3957 |
Number Of Medicare Beneficiaries |
726 |
Total Submitted Charge Amount |
653313 |
Total Medicare Allowed Amount |
318725.92 |
Total Medicare Payment Amount |
244028.13 |
Total Medicare Standardized Payment Amount |
230881.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
78 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
1746 |
Total Drug Medicare AllowedAmount |
1182.15 |
Total Drug Medicare PaymentAmount |
1022.72 |
Total Drug Medicare Standardized Payment Amount |
1022.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
3879 |
Number Of Medicare Beneficiaries With Medical Services |
726 |
Total Medical Submitted Charge Amount |
651567 |
Total Medical Medicare Allowed Amount |
317543.77 |
Total Medical Medicare Payment Amount |
243005.41 |
Total Medical Medicare Standardized Payment Amount |
229858.84 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
243 |
Number Of Beneficiaries Age 75 to 84 |
214 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
340 |
Number Of Male Beneficiaries |
386 |
Number Of Non Hispanic White Beneficiaries |
515 |
Number Of Black or African American Beneficiaries |
106 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
77 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
465 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
261 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
3.45 |