National Provider Identifier [NPI]: |
1245288026 |
Last Name Of The Provider |
READER |
First Name Of The Provider |
CLAUDIO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
830 WASHINGTON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WATERTOWN |
Zip Code Of The Provider |
136014066 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
896 |
Number Of Medicare Beneficiaries |
795 |
Total Submitted Charge Amount |
299509 |
Total Medicare Allowed Amount |
159370.79 |
Total Medicare Payment Amount |
124396.45 |
Total Medicare Standardized Payment Amount |
122302.76 |
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 |
18 |
Number Of Medical Services |
896 |
Number Of Medicare Beneficiaries With Medical Services |
795 |
Total Medical Submitted Charge Amount |
299509 |
Total Medical Medicare Allowed Amount |
159370.79 |
Total Medical Medicare Payment Amount |
124396.45 |
Total Medical Medicare Standardized Payment Amount |
122302.76 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
190 |
Number Of Beneficiaries Age 75 to 84 |
236 |
Number Of Beneficiaries Age Greater 84 |
239 |
Number Of Female Beneficiaries |
465 |
Number Of Male Beneficiaries |
330 |
Number Of Non Hispanic White Beneficiaries |
701 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
544 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
251 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
58 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.9842 |