National Provider Identifier [NPI]: |
1184673857 |
Last Name Of The Provider |
KLEIN |
First Name Of The Provider |
MELVIN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1201 NORTHERN BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MANHASSET |
Zip Code Of The Provider |
110303001 |
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 |
51 |
Number Of Services |
5277 |
Number Of Medicare Beneficiaries |
352 |
Total Submitted Charge Amount |
293096.85 |
Total Medicare Allowed Amount |
234069.63 |
Total Medicare Payment Amount |
178180.15 |
Total Medicare Standardized Payment Amount |
157704.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
251 |
Number Of Medicare Beneficiaries With Drug Services |
187 |
Total Drug Submitted ChargeAmount |
15075 |
Total Drug Medicare AllowedAmount |
8813.02 |
Total Drug Medicare PaymentAmount |
8625.98 |
Total Drug Medicare Standardized Payment Amount |
8625.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
5026 |
Number Of Medicare Beneficiaries With Medical Services |
352 |
Total Medical Submitted Charge Amount |
278021.85 |
Total Medical Medicare Allowed Amount |
225256.61 |
Total Medical Medicare Payment Amount |
169554.17 |
Total Medical Medicare Standardized Payment Amount |
149078.04 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
112 |
Number Of Beneficiaries Age 75 to 84 |
117 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
193 |
Number Of Male Beneficiaries |
159 |
Number Of Non Hispanic White Beneficiaries |
322 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
333 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2969 |