National Provider Identifier [NPI]: |
1255328126 |
Last Name Of The Provider |
AUGUSTINE |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4939 BRITTONFIELD PKWY |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
EAST SYRACUSE |
Zip Code Of The Provider |
130579208 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
153 |
Number Of Services |
11570 |
Number Of Medicare Beneficiaries |
870 |
Total Submitted Charge Amount |
351468.21 |
Total Medicare Allowed Amount |
332965.12 |
Total Medicare Payment Amount |
250690.81 |
Total Medicare Standardized Payment Amount |
264011.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
826 |
Number Of Medicare Beneficiaries With Drug Services |
425 |
Total Drug Submitted ChargeAmount |
18975.47 |
Total Drug Medicare AllowedAmount |
17443.72 |
Total Drug Medicare PaymentAmount |
16644.57 |
Total Drug Medicare Standardized Payment Amount |
16644.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
139 |
Number Of Medical Services |
10744 |
Number Of Medicare Beneficiaries With Medical Services |
869 |
Total Medical Submitted Charge Amount |
332492.74 |
Total Medical Medicare Allowed Amount |
315521.4 |
Total Medical Medicare Payment Amount |
234046.24 |
Total Medical Medicare Standardized Payment Amount |
247366.68 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
305 |
Number Of Beneficiaries Age 75 to 84 |
293 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
463 |
Number Of Male Beneficiaries |
407 |
Number Of Non Hispanic White Beneficiaries |
833 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
767 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1676 |