National Provider Identifier [NPI]: |
1942409891 |
Last Name Of The Provider |
BISHAI |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
270 PARK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HUNTINGTON |
Zip Code Of The Provider |
117432787 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
1648 |
Number Of Medicare Beneficiaries |
745 |
Total Submitted Charge Amount |
451985 |
Total Medicare Allowed Amount |
227829.43 |
Total Medicare Payment Amount |
178154.04 |
Total Medicare Standardized Payment Amount |
157990.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
1648 |
Number Of Medicare Beneficiaries With Medical Services |
745 |
Total Medical Submitted Charge Amount |
451985 |
Total Medical Medicare Allowed Amount |
227829.43 |
Total Medical Medicare Payment Amount |
178154.04 |
Total Medical Medicare Standardized Payment Amount |
157990.15 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
164 |
Number Of Beneficiaries Age 75 to 84 |
239 |
Number Of Beneficiaries Age Greater 84 |
278 |
Number Of Female Beneficiaries |
438 |
Number Of Male Beneficiaries |
307 |
Number Of Non Hispanic White Beneficiaries |
691 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
491 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
254 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
49 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
2.4645 |