National Provider Identifier [NPI]: |
1215975701 |
Last Name Of The Provider |
BIGMAN |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 KINGS HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAUPPAUGE |
Zip Code Of The Provider |
117884216 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
1083 |
Number Of Medicare Beneficiaries |
190 |
Total Submitted Charge Amount |
126140 |
Total Medicare Allowed Amount |
69105.65 |
Total Medicare Payment Amount |
48805.88 |
Total Medicare Standardized Payment Amount |
43876.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
65 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
7310 |
Total Drug Medicare AllowedAmount |
4101.5 |
Total Drug Medicare PaymentAmount |
4001.53 |
Total Drug Medicare Standardized Payment Amount |
4001.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1018 |
Number Of Medicare Beneficiaries With Medical Services |
190 |
Total Medical Submitted Charge Amount |
118830 |
Total Medical Medicare Allowed Amount |
65004.15 |
Total Medical Medicare Payment Amount |
44804.35 |
Total Medical Medicare Standardized Payment Amount |
39875.27 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
79 |
Number Of Beneficiaries Age 75 to 84 |
46 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
112 |
Number Of Male Beneficiaries |
78 |
Number Of Non Hispanic White Beneficiaries |
127 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
120 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1879 |