National Provider Identifier [NPI]: |
1841231545 |
Last Name Of The Provider |
NAGHAVI |
First Name Of The Provider |
REZA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
178 SUNRISE HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCKVILLE CENTRE |
Zip Code Of The Provider |
115704704 |
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 |
72 |
Number Of Services |
5550 |
Number Of Medicare Beneficiaries |
415 |
Total Submitted Charge Amount |
1085000 |
Total Medicare Allowed Amount |
544635.99 |
Total Medicare Payment Amount |
422204.47 |
Total Medicare Standardized Payment Amount |
361269.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
673 |
Number Of Medicare Beneficiaries With Drug Services |
107 |
Total Drug Submitted ChargeAmount |
9305 |
Total Drug Medicare AllowedAmount |
3639.89 |
Total Drug Medicare PaymentAmount |
3126.63 |
Total Drug Medicare Standardized Payment Amount |
3126.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
4877 |
Number Of Medicare Beneficiaries With Medical Services |
415 |
Total Medical Submitted Charge Amount |
1075695 |
Total Medical Medicare Allowed Amount |
540996.1 |
Total Medical Medicare Payment Amount |
419077.84 |
Total Medical Medicare Standardized Payment Amount |
358142.53 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
176 |
Number Of Beneficiaries Age 75 to 84 |
119 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
223 |
Number Of Male Beneficiaries |
192 |
Number Of Non Hispanic White Beneficiaries |
258 |
Number Of Black or African American Beneficiaries |
96 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
322 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
93 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2884 |