National Provider Identifier [NPI]: |
1700844644 |
Last Name Of The Provider |
PALIOU |
First Name Of The Provider |
MARIA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1901 1ST AVE |
Street Address 2 Of The Provider |
MEDICINE DEPARTMENT |
City Of The Provider |
NEW YORK |
Zip Code Of The Provider |
100297404 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
645 |
Number Of Medicare Beneficiaries |
299 |
Total Submitted Charge Amount |
149822 |
Total Medicare Allowed Amount |
51830.42 |
Total Medicare Payment Amount |
38979.79 |
Total Medicare Standardized Payment Amount |
33976.98 |
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 |
21 |
Number Of Medical Services |
645 |
Number Of Medicare Beneficiaries With Medical Services |
299 |
Total Medical Submitted Charge Amount |
149822 |
Total Medical Medicare Allowed Amount |
51830.42 |
Total Medical Medicare Payment Amount |
38979.79 |
Total Medical Medicare Standardized Payment Amount |
33976.98 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
140 |
Number Of Beneficiaries Age 75 to 84 |
82 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
192 |
Number Of Male Beneficiaries |
107 |
Number Of Non Hispanic White Beneficiaries |
146 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
73 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
30 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
269 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
27 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
55 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0145 |