National Provider Identifier [NPI]: |
1144220799 |
Last Name Of The Provider |
TITTON |
First Name Of The Provider |
ROSS |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
748 KINGS HWY |
Street Address 2 Of The Provider |
WOODBURY |
City Of The Provider |
WOODBURY |
Zip Code Of The Provider |
080963157 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
179 |
Number Of Services |
11351.2 |
Number Of Medicare Beneficiaries |
2730 |
Total Submitted Charge Amount |
1708405 |
Total Medicare Allowed Amount |
449660.56 |
Total Medicare Payment Amount |
354803.16 |
Total Medicare Standardized Payment Amount |
335625.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
6909.2 |
Number Of Medicare Beneficiaries With Drug Services |
128 |
Total Drug Submitted ChargeAmount |
12230 |
Total Drug Medicare AllowedAmount |
3263.61 |
Total Drug Medicare PaymentAmount |
2541.81 |
Total Drug Medicare Standardized Payment Amount |
2541.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
175 |
Number Of Medical Services |
4442 |
Number Of Medicare Beneficiaries With Medical Services |
2730 |
Total Medical Submitted Charge Amount |
1696175 |
Total Medical Medicare Allowed Amount |
446396.95 |
Total Medical Medicare Payment Amount |
352261.35 |
Total Medical Medicare Standardized Payment Amount |
333083.9 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
430 |
Number Of Beneficiaries Age 65 to 74 |
1101 |
Number Of Beneficiaries Age 75 to 84 |
780 |
Number Of Beneficiaries Age Greater 84 |
419 |
Number Of Female Beneficiaries |
1816 |
Number Of Male Beneficiaries |
914 |
Number Of Non Hispanic White Beneficiaries |
2316 |
Number Of Black or African American Beneficiaries |
297 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
2251 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
479 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4411 |