National Provider Identifier [NPI]: |
1215915681 |
Last Name Of The Provider |
GATEWOOD |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6460 MAIN ST |
Street Address 2 Of The Provider |
BUFFALO CARDIOLOGY & PULMONARY ASSOC PC |
City Of The Provider |
WILLIAMSVILLE |
Zip Code Of The Provider |
142215838 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
1115 |
Number Of Medicare Beneficiaries |
565 |
Total Submitted Charge Amount |
150629.58 |
Total Medicare Allowed Amount |
76138.7 |
Total Medicare Payment Amount |
56756.97 |
Total Medicare Standardized Payment Amount |
59627.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
33 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
2440.58 |
Total Drug Medicare AllowedAmount |
1698.75 |
Total Drug Medicare PaymentAmount |
1334.88 |
Total Drug Medicare Standardized Payment Amount |
1334.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1082 |
Number Of Medicare Beneficiaries With Medical Services |
565 |
Total Medical Submitted Charge Amount |
148189 |
Total Medical Medicare Allowed Amount |
74439.95 |
Total Medical Medicare Payment Amount |
55422.09 |
Total Medical Medicare Standardized Payment Amount |
58292.96 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
149 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
156 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
278 |
Number Of Male Beneficiaries |
287 |
Number Of Non Hispanic White Beneficiaries |
402 |
Number Of Black or African American Beneficiaries |
128 |
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 |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
355 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
210 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.1722 |