National Provider Identifier [NPI]: |
1689641045 |
Last Name Of The Provider |
PEYSER |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4160 MERRICK ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MASSAPEQUA |
Zip Code Of The Provider |
11758 |
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 |
131 |
Number Of Services |
12761 |
Number Of Medicare Beneficiaries |
1721 |
Total Submitted Charge Amount |
670512.77 |
Total Medicare Allowed Amount |
503483.28 |
Total Medicare Payment Amount |
389915.29 |
Total Medicare Standardized Payment Amount |
332641.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
9912 |
Number Of Medicare Beneficiaries With Drug Services |
106 |
Total Drug Submitted ChargeAmount |
14175 |
Total Drug Medicare AllowedAmount |
1849.64 |
Total Drug Medicare PaymentAmount |
1449.97 |
Total Drug Medicare Standardized Payment Amount |
1449.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
129 |
Number Of Medical Services |
2849 |
Number Of Medicare Beneficiaries With Medical Services |
1721 |
Total Medical Submitted Charge Amount |
656337.77 |
Total Medical Medicare Allowed Amount |
501633.64 |
Total Medical Medicare Payment Amount |
388465.32 |
Total Medical Medicare Standardized Payment Amount |
331191.37 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
234 |
Number Of Beneficiaries Age 65 to 74 |
758 |
Number Of Beneficiaries Age 75 to 84 |
540 |
Number Of Beneficiaries Age Greater 84 |
189 |
Number Of Female Beneficiaries |
1104 |
Number Of Male Beneficiaries |
617 |
Number Of Non Hispanic White Beneficiaries |
1474 |
Number Of Black or African American Beneficiaries |
97 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
105 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1487 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
234 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1635 |