National Provider Identifier [NPI]: |
1588637938 |
Last Name Of The Provider |
CUSHNER |
First Name Of The Provider |
FRED |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
210 EAST 64TH STREET |
Street Address 2 Of The Provider |
4TH FLOOR |
City Of The Provider |
NEW YORK |
Zip Code Of The Provider |
10065 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
2033 |
Number Of Medicare Beneficiaries |
385 |
Total Submitted Charge Amount |
1192103.39 |
Total Medicare Allowed Amount |
254825.05 |
Total Medicare Payment Amount |
192222.45 |
Total Medicare Standardized Payment Amount |
166571.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
499 |
Number Of Medicare Beneficiaries With Drug Services |
107 |
Total Drug Submitted ChargeAmount |
22717.15 |
Total Drug Medicare AllowedAmount |
14191.52 |
Total Drug Medicare PaymentAmount |
11002.35 |
Total Drug Medicare Standardized Payment Amount |
11002.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1534 |
Number Of Medicare Beneficiaries With Medical Services |
385 |
Total Medical Submitted Charge Amount |
1169386.24 |
Total Medical Medicare Allowed Amount |
240633.53 |
Total Medical Medicare Payment Amount |
181220.1 |
Total Medical Medicare Standardized Payment Amount |
155569.12 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
204 |
Number Of Beneficiaries Age 75 to 84 |
114 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
254 |
Number Of Male Beneficiaries |
131 |
Number Of Non Hispanic White Beneficiaries |
299 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
317 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1275 |