National Provider Identifier [NPI]: |
1932204922 |
Last Name Of The Provider |
CARFORA |
First Name Of The Provider |
ROXANNE |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
694 MOTOR PKWY |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
HAUPPAUGE |
Zip Code Of The Provider |
117885175 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
4158 |
Number Of Medicare Beneficiaries |
761 |
Total Submitted Charge Amount |
785284.67 |
Total Medicare Allowed Amount |
387599.71 |
Total Medicare Payment Amount |
289013.63 |
Total Medicare Standardized Payment Amount |
251878.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
194 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
6630 |
Total Drug Medicare AllowedAmount |
1749.02 |
Total Drug Medicare PaymentAmount |
1670.5 |
Total Drug Medicare Standardized Payment Amount |
1670.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
3964 |
Number Of Medicare Beneficiaries With Medical Services |
761 |
Total Medical Submitted Charge Amount |
778654.67 |
Total Medical Medicare Allowed Amount |
385850.69 |
Total Medical Medicare Payment Amount |
287343.13 |
Total Medical Medicare Standardized Payment Amount |
250207.95 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
140 |
Number Of Beneficiaries Age 65 to 74 |
373 |
Number Of Beneficiaries Age 75 to 84 |
177 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
479 |
Number Of Male Beneficiaries |
282 |
Number Of Non Hispanic White Beneficiaries |
717 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
695 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0326 |