National Provider Identifier [NPI]: |
1821068800 |
Last Name Of The Provider |
DAYANI |
First Name Of The Provider |
NEGAR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
150 E SUNRISE HWY |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
LINDENHURST |
Zip Code Of The Provider |
117572598 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
51007.3 |
Number Of Medicare Beneficiaries |
1672 |
Total Submitted Charge Amount |
1545333.93 |
Total Medicare Allowed Amount |
529717.35 |
Total Medicare Payment Amount |
402574.71 |
Total Medicare Standardized Payment Amount |
347063.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
48606.3 |
Number Of Medicare Beneficiaries With Drug Services |
626 |
Total Drug Submitted ChargeAmount |
18583.99 |
Total Drug Medicare AllowedAmount |
12309.22 |
Total Drug Medicare PaymentAmount |
9438.02 |
Total Drug Medicare Standardized Payment Amount |
9438.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
96 |
Number Of Medical Services |
2401 |
Number Of Medicare Beneficiaries With Medical Services |
1671 |
Total Medical Submitted Charge Amount |
1526749.94 |
Total Medical Medicare Allowed Amount |
517408.13 |
Total Medical Medicare Payment Amount |
393136.69 |
Total Medical Medicare Standardized Payment Amount |
337625.61 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
221 |
Number Of Beneficiaries Age 65 to 74 |
724 |
Number Of Beneficiaries Age 75 to 84 |
499 |
Number Of Beneficiaries Age Greater 84 |
228 |
Number Of Female Beneficiaries |
939 |
Number Of Male Beneficiaries |
733 |
Number Of Non Hispanic White Beneficiaries |
1479 |
Number Of Black or African American Beneficiaries |
63 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
73 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1472 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
200 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3765 |