National Provider Identifier [NPI]: |
1508857772 |
Last Name Of The Provider |
SUN |
First Name Of The Provider |
NANCY |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
40 CROSSWAYS PARK DRIVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WOODBURY |
Zip Code Of The Provider |
117972036 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
113576 |
Number Of Medicare Beneficiaries |
639 |
Total Submitted Charge Amount |
2389418 |
Total Medicare Allowed Amount |
1747718.51 |
Total Medicare Payment Amount |
1363330.71 |
Total Medicare Standardized Payment Amount |
1302854.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
43 |
Number Of Drug Services |
101985 |
Number Of Medicare Beneficiaries With Drug Services |
115 |
Total Drug Submitted ChargeAmount |
1624060 |
Total Drug Medicare AllowedAmount |
1229218.6 |
Total Drug Medicare PaymentAmount |
962778.96 |
Total Drug Medicare Standardized Payment Amount |
962778.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
11591 |
Number Of Medicare Beneficiaries With Medical Services |
639 |
Total Medical Submitted Charge Amount |
765358 |
Total Medical Medicare Allowed Amount |
518499.91 |
Total Medical Medicare Payment Amount |
400551.75 |
Total Medical Medicare Standardized Payment Amount |
340075.09 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
193 |
Number Of Beneficiaries Age 75 to 84 |
251 |
Number Of Beneficiaries Age Greater 84 |
157 |
Number Of Female Beneficiaries |
437 |
Number Of Male Beneficiaries |
202 |
Number Of Non Hispanic White Beneficiaries |
583 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
574 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6952 |