National Provider Identifier [NPI]: |
1023004876 |
Last Name Of The Provider |
HAMBURGER |
First Name Of The Provider |
MAX |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1895 WALT WHITMAN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MELVILLE |
Zip Code Of The Provider |
117473031 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
20457 |
Number Of Medicare Beneficiaries |
229 |
Total Submitted Charge Amount |
1103058 |
Total Medicare Allowed Amount |
641072.48 |
Total Medicare Payment Amount |
500454.04 |
Total Medicare Standardized Payment Amount |
486744.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
16238 |
Number Of Medicare Beneficiaries With Drug Services |
107 |
Total Drug Submitted ChargeAmount |
793336 |
Total Drug Medicare AllowedAmount |
500536.6 |
Total Drug Medicare PaymentAmount |
391501.76 |
Total Drug Medicare Standardized Payment Amount |
391501.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
4219 |
Number Of Medicare Beneficiaries With Medical Services |
229 |
Total Medical Submitted Charge Amount |
309722 |
Total Medical Medicare Allowed Amount |
140535.88 |
Total Medical Medicare Payment Amount |
108952.28 |
Total Medical Medicare Standardized Payment Amount |
95242.9 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
109 |
Number Of Beneficiaries Age 75 to 84 |
73 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
184 |
Number Of Male Beneficiaries |
45 |
Number Of Non Hispanic White Beneficiaries |
215 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
212 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
40 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4416 |