National Provider Identifier [NPI]: |
1356320121 |
Last Name Of The Provider |
VEITH |
First Name Of The Provider |
GARY |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
61 E MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BAY SHORE |
Zip Code Of The Provider |
117068366 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
4480 |
Number Of Medicare Beneficiaries |
979 |
Total Submitted Charge Amount |
871494 |
Total Medicare Allowed Amount |
384994.74 |
Total Medicare Payment Amount |
291988.23 |
Total Medicare Standardized Payment Amount |
253387.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
274 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
7826 |
Total Drug Medicare AllowedAmount |
1030.6 |
Total Drug Medicare PaymentAmount |
802.56 |
Total Drug Medicare Standardized Payment Amount |
802.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
4206 |
Number Of Medicare Beneficiaries With Medical Services |
979 |
Total Medical Submitted Charge Amount |
863668 |
Total Medical Medicare Allowed Amount |
383964.14 |
Total Medical Medicare Payment Amount |
291185.67 |
Total Medical Medicare Standardized Payment Amount |
252584.5 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
369 |
Number Of Beneficiaries Age 75 to 84 |
374 |
Number Of Beneficiaries Age Greater 84 |
171 |
Number Of Female Beneficiaries |
491 |
Number Of Male Beneficiaries |
488 |
Number Of Non Hispanic White Beneficiaries |
863 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
53 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
857 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
122 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6108 |