National Provider Identifier [NPI]: |
1386871176 |
Last Name Of The Provider |
OHEBSION |
First Name Of The Provider |
JONATHAN |
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 |
101 HOSPITAL RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PATCHOGUE |
Zip Code Of The Provider |
117724897 |
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 |
12 |
Number Of Services |
1436 |
Number Of Medicare Beneficiaries |
478 |
Total Submitted Charge Amount |
316711 |
Total Medicare Allowed Amount |
160520.82 |
Total Medicare Payment Amount |
124844.01 |
Total Medicare Standardized Payment Amount |
112360.77 |
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 |
12 |
Number Of Medical Services |
1436 |
Number Of Medicare Beneficiaries With Medical Services |
478 |
Total Medical Submitted Charge Amount |
316711 |
Total Medical Medicare Allowed Amount |
160520.82 |
Total Medical Medicare Payment Amount |
124844.01 |
Total Medical Medicare Standardized Payment Amount |
112360.77 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
114 |
Number Of Beneficiaries Age 65 to 74 |
118 |
Number Of Beneficiaries Age 75 to 84 |
109 |
Number Of Beneficiaries Age Greater 84 |
137 |
Number Of Female Beneficiaries |
252 |
Number Of Male Beneficiaries |
226 |
Number Of Non Hispanic White Beneficiaries |
377 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
280 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
198 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
35 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
56 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
2.5305 |