National Provider Identifier [NPI]: |
1912961467 |
Last Name Of The Provider |
ACCETTA |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3045 SOUTHWESTERN BLVD STE 104 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORCHARD PARK |
Zip Code Of The Provider |
141271209 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
5419 |
Number Of Medicare Beneficiaries |
798 |
Total Submitted Charge Amount |
358023.85 |
Total Medicare Allowed Amount |
320088.9 |
Total Medicare Payment Amount |
233527.75 |
Total Medicare Standardized Payment Amount |
241416.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
65 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
12787.7 |
Total Drug Medicare AllowedAmount |
12379.74 |
Total Drug Medicare PaymentAmount |
9462.85 |
Total Drug Medicare Standardized Payment Amount |
9462.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
5354 |
Number Of Medicare Beneficiaries With Medical Services |
798 |
Total Medical Submitted Charge Amount |
345236.15 |
Total Medical Medicare Allowed Amount |
307709.16 |
Total Medical Medicare Payment Amount |
224064.9 |
Total Medical Medicare Standardized Payment Amount |
231953.68 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
356 |
Number Of Beneficiaries Age 75 to 84 |
268 |
Number Of Beneficiaries Age Greater 84 |
135 |
Number Of Female Beneficiaries |
343 |
Number Of Male Beneficiaries |
455 |
Number Of Non Hispanic White Beneficiaries |
785 |
Number Of Black or African American Beneficiaries |
|
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 |
781 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9603 |