National Provider Identifier [NPI]: |
1093896912 |
Last Name Of The Provider |
MISHKIN |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 W MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FREEHOLD |
Zip Code Of The Provider |
077282500 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
5978 |
Number Of Medicare Beneficiaries |
1459 |
Total Submitted Charge Amount |
426162.35 |
Total Medicare Allowed Amount |
405473.15 |
Total Medicare Payment Amount |
295199.95 |
Total Medicare Standardized Payment Amount |
270257.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
3700 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
20341 |
Total Drug Medicare AllowedAmount |
20334.2 |
Total Drug Medicare PaymentAmount |
15596.2 |
Total Drug Medicare Standardized Payment Amount |
15596.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
2278 |
Number Of Medicare Beneficiaries With Medical Services |
1459 |
Total Medical Submitted Charge Amount |
405821.35 |
Total Medical Medicare Allowed Amount |
385138.95 |
Total Medical Medicare Payment Amount |
279603.75 |
Total Medical Medicare Standardized Payment Amount |
254660.86 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
752 |
Number Of Beneficiaries Age 75 to 84 |
472 |
Number Of Beneficiaries Age Greater 84 |
197 |
Number Of Female Beneficiaries |
914 |
Number Of Male Beneficiaries |
545 |
Number Of Non Hispanic White Beneficiaries |
1328 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
45 |
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1404 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0752 |