National Provider Identifier [NPI]: |
1194760041 |
Last Name Of The Provider |
MORELLO |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD, FACC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3501 A WEST TRUMAN BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
JEFFERSON CITY |
Zip Code Of The Provider |
65109 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
8850 |
Number Of Medicare Beneficiaries |
1978 |
Total Submitted Charge Amount |
1337193.68 |
Total Medicare Allowed Amount |
680605.94 |
Total Medicare Payment Amount |
504776.87 |
Total Medicare Standardized Payment Amount |
524880.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1041 |
Number Of Medicare Beneficiaries With Drug Services |
160 |
Total Drug Submitted ChargeAmount |
9930 |
Total Drug Medicare AllowedAmount |
3363.05 |
Total Drug Medicare PaymentAmount |
2217.71 |
Total Drug Medicare Standardized Payment Amount |
2217.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
7809 |
Number Of Medicare Beneficiaries With Medical Services |
1978 |
Total Medical Submitted Charge Amount |
1327263.68 |
Total Medical Medicare Allowed Amount |
677242.89 |
Total Medical Medicare Payment Amount |
502559.16 |
Total Medical Medicare Standardized Payment Amount |
522663.03 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
235 |
Number Of Beneficiaries Age 65 to 74 |
697 |
Number Of Beneficiaries Age 75 to 84 |
732 |
Number Of Beneficiaries Age Greater 84 |
314 |
Number Of Female Beneficiaries |
1001 |
Number Of Male Beneficiaries |
977 |
Number Of Non Hispanic White Beneficiaries |
1909 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1687 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
291 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4958 |