National Provider Identifier [NPI]: |
1215963525 |
Last Name Of The Provider |
FRUAUFF |
First Name Of The Provider |
ARTHUR |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1275 YORK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW YORK |
Zip Code Of The Provider |
100216007 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
3142 |
Number Of Medicare Beneficiaries |
1844 |
Total Submitted Charge Amount |
1216965 |
Total Medicare Allowed Amount |
223264.65 |
Total Medicare Payment Amount |
162828.11 |
Total Medicare Standardized Payment Amount |
152938.52 |
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 |
52 |
Number Of Medical Services |
3142 |
Number Of Medicare Beneficiaries With Medical Services |
1844 |
Total Medical Submitted Charge Amount |
1216965 |
Total Medical Medicare Allowed Amount |
223264.65 |
Total Medical Medicare Payment Amount |
162828.11 |
Total Medical Medicare Standardized Payment Amount |
152938.52 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
149 |
Number Of Beneficiaries Age 65 to 74 |
918 |
Number Of Beneficiaries Age 75 to 84 |
655 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
866 |
Number Of Male Beneficiaries |
978 |
Number Of Non Hispanic White Beneficiaries |
1534 |
Number Of Black or African American Beneficiaries |
68 |
Number Of AsianPacific Islander Beneficiaries |
75 |
Number Of Hispanic Beneficiaries |
104 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
63 |
Number Of Beneficiaries With Medicare Only Entitlement |
1626 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
218 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.8786 |