| National Provider Identifier [NPI]: | 1205819117 |
| Last Name Of The Provider | PFEFFER |
| First Name Of The Provider | DAVID |
| 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 | 1000 MONTAUK HWY |
| Street Address 2 Of The Provider | |
| City Of The Provider | WEST ISLIP |
| Zip Code Of The Provider | 117954927 |
| 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 | 121 |
| Number Of Services | 6888 |
| Number Of Medicare Beneficiaries | 3796 |
| Total Submitted Charge Amount | 726237 |
| Total Medicare Allowed Amount | 208407.31 |
| Total Medicare Payment Amount | 158955.18 |
| Total Medicare Standardized Payment Amount | 144306.62 |
| 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 | 121 |
| Number Of Medical Services | 6888 |
| Number Of Medicare Beneficiaries With Medical Services | 3796 |
| Total Medical Submitted Charge Amount | 726237 |
| Total Medical Medicare Allowed Amount | 208407.31 |
| Total Medical Medicare Payment Amount | 158955.18 |
| Total Medical Medicare Standardized Payment Amount | 144306.62 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 582 |
| Number Of Beneficiaries Age 65 to 74 | 931 |
| Number Of Beneficiaries Age 75 to 84 | 1240 |
| Number Of Beneficiaries Age Greater 84 | 1043 |
| Number Of Female Beneficiaries | 2185 |
| Number Of Male Beneficiaries | 1611 |
| Number Of Non Hispanic White Beneficiaries | 3170 |
| Number Of Black or African American Beneficiaries | 322 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 207 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 49 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2615 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1181 |
| Percent Of With Atrial Fibrillation | 27 |
| Percent Of With Alzheimers Disease or Dementia | 31 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 19 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 53 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 69 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 2.1617 |