National Provider Identifier [NPI]: |
1609164334 |
Last Name Of The Provider |
FLANAGAN |
First Name Of The Provider |
BRENAINN |
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 |
12 BURR AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTHPORT |
Zip Code Of The Provider |
117681927 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
3754 |
Number Of Medicare Beneficiaries |
473 |
Total Submitted Charge Amount |
516072 |
Total Medicare Allowed Amount |
340468.91 |
Total Medicare Payment Amount |
259090.5 |
Total Medicare Standardized Payment Amount |
228344.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
17 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
885 |
Total Drug Medicare AllowedAmount |
365.65 |
Total Drug Medicare PaymentAmount |
358.3 |
Total Drug Medicare Standardized Payment Amount |
358.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
3737 |
Number Of Medicare Beneficiaries With Medical Services |
473 |
Total Medical Submitted Charge Amount |
515187 |
Total Medical Medicare Allowed Amount |
340103.26 |
Total Medical Medicare Payment Amount |
258732.2 |
Total Medical Medicare Standardized Payment Amount |
227986.69 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
121 |
Number Of Beneficiaries Age 75 to 84 |
125 |
Number Of Beneficiaries Age Greater 84 |
180 |
Number Of Female Beneficiaries |
314 |
Number Of Male Beneficiaries |
159 |
Number Of Non Hispanic White Beneficiaries |
420 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
236 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
237 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
51 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.1688 |