| National Provider Identifier [NPI]: | 1376790022 |
| Last Name Of The Provider | KIERNAN |
| First Name Of The Provider | DANIEL |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2000 N. VILLAGE AVENUE |
| Street Address 2 Of The Provider | SUITE 402 |
| City Of The Provider | ROCKVILLE CENTRE |
| Zip Code Of The Provider | 11570 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 56 |
| Number Of Services | 19298 |
| Number Of Medicare Beneficiaries | 1319 |
| Total Submitted Charge Amount | 9824743.15 |
| Total Medicare Allowed Amount | 5480298.76 |
| Total Medicare Payment Amount | 4232736.52 |
| Total Medicare Standardized Payment Amount | 4028643.98 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 6101 |
| Number Of Medicare Beneficiaries With Drug Services | 428 |
| Total Drug Submitted ChargeAmount | 4207772 |
| Total Drug Medicare AllowedAmount | 3601807.64 |
| Total Drug Medicare PaymentAmount | 2806222.44 |
| Total Drug Medicare Standardized Payment Amount | 2806222.44 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 50 |
| Number Of Medical Services | 13197 |
| Number Of Medicare Beneficiaries With Medical Services | 1319 |
| Total Medical Submitted Charge Amount | 5616971.15 |
| Total Medical Medicare Allowed Amount | 1878491.12 |
| Total Medical Medicare Payment Amount | 1426514.08 |
| Total Medical Medicare Standardized Payment Amount | 1222421.54 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 80 |
| Number Of Beneficiaries Age 65 to 74 | 438 |
| Number Of Beneficiaries Age 75 to 84 | 446 |
| Number Of Beneficiaries Age Greater 84 | 355 |
| Number Of Female Beneficiaries | 783 |
| Number Of Male Beneficiaries | 536 |
| Number Of Non Hispanic White Beneficiaries | 1095 |
| Number Of Black or African American Beneficiaries | 102 |
| Number Of AsianPacific Islander Beneficiaries | 38 |
| Number Of Hispanic Beneficiaries | 59 |
| 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 | 1127 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 192 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 48 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.5156 |