National Provider Identifier [NPI]: |
1588604557 |
Last Name Of The Provider |
CARUSO |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
256 BROAD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BLOOMFIELD |
Zip Code Of The Provider |
070032766 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
105 |
Number Of Services |
4903 |
Number Of Medicare Beneficiaries |
380 |
Total Submitted Charge Amount |
705675 |
Total Medicare Allowed Amount |
215512.21 |
Total Medicare Payment Amount |
162934.14 |
Total Medicare Standardized Payment Amount |
149992.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
2307 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
59815 |
Total Drug Medicare AllowedAmount |
31620.34 |
Total Drug Medicare PaymentAmount |
24790.15 |
Total Drug Medicare Standardized Payment Amount |
24790.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
2596 |
Number Of Medicare Beneficiaries With Medical Services |
380 |
Total Medical Submitted Charge Amount |
645860 |
Total Medical Medicare Allowed Amount |
183891.87 |
Total Medical Medicare Payment Amount |
138143.99 |
Total Medical Medicare Standardized Payment Amount |
125202.26 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
26 |
Number Of Female Beneficiaries |
94 |
Number Of Male Beneficiaries |
286 |
Number Of Non Hispanic White Beneficiaries |
169 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
161 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
220 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
160 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4366 |