National Provider Identifier [NPI]: |
1134187131 |
Last Name Of The Provider |
PARIS |
First Name Of The Provider |
BARBARA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4802 TENTH AVENUE |
Street Address 2 Of The Provider |
MALMONIDES HOSPITAL DEPARTMENT OF MEDICINE |
City Of The Provider |
BROOKLYN |
Zip Code Of The Provider |
11219 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
615 |
Number Of Medicare Beneficiaries |
143 |
Total Submitted Charge Amount |
66345 |
Total Medicare Allowed Amount |
47728.68 |
Total Medicare Payment Amount |
35989.35 |
Total Medicare Standardized Payment Amount |
31413.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
70 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
2340 |
Total Drug Medicare AllowedAmount |
1155.96 |
Total Drug Medicare PaymentAmount |
1132.85 |
Total Drug Medicare Standardized Payment Amount |
1132.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
545 |
Number Of Medicare Beneficiaries With Medical Services |
143 |
Total Medical Submitted Charge Amount |
64005 |
Total Medical Medicare Allowed Amount |
46572.72 |
Total Medical Medicare Payment Amount |
34856.5 |
Total Medical Medicare Standardized Payment Amount |
30280.84 |
Average Age Of Beneficiaries |
88 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
105 |
Number Of Male Beneficiaries |
38 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
82 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
61 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
51 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.7811 |