National Provider Identifier [NPI]: |
1609083005 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
WAYNE |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
80 MILL RIVER ST |
Street Address 2 Of The Provider |
SUITE 1300 |
City Of The Provider |
STAMFORD |
Zip Code Of The Provider |
069023779 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
3195 |
Number Of Medicare Beneficiaries |
1018 |
Total Submitted Charge Amount |
528270 |
Total Medicare Allowed Amount |
213862.01 |
Total Medicare Payment Amount |
161081.69 |
Total Medicare Standardized Payment Amount |
144458.79 |
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 |
3195 |
Number Of Medicare Beneficiaries With Medical Services |
1018 |
Total Medical Submitted Charge Amount |
528270 |
Total Medical Medicare Allowed Amount |
213862.01 |
Total Medical Medicare Payment Amount |
161081.69 |
Total Medical Medicare Standardized Payment Amount |
144458.79 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
313 |
Number Of Beneficiaries Age 75 to 84 |
376 |
Number Of Beneficiaries Age Greater 84 |
253 |
Number Of Female Beneficiaries |
505 |
Number Of Male Beneficiaries |
513 |
Number Of Non Hispanic White Beneficiaries |
810 |
Number Of Black or African American Beneficiaries |
107 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
61 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
771 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
247 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5099 |