National Provider Identifier [NPI]: |
1265696694 |
Last Name Of The Provider |
GERACI |
First Name Of The Provider |
SILVIA |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 W MAIN ST |
Street Address 2 Of The Provider |
SUITE 116 |
City Of The Provider |
BABYLON |
Zip Code Of The Provider |
117023027 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
1493 |
Number Of Medicare Beneficiaries |
238 |
Total Submitted Charge Amount |
587701 |
Total Medicare Allowed Amount |
169332.58 |
Total Medicare Payment Amount |
125172.78 |
Total Medicare Standardized Payment Amount |
106057.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
194 |
Number Of Medicare Beneficiaries With Drug Services |
90 |
Total Drug Submitted ChargeAmount |
10295 |
Total Drug Medicare AllowedAmount |
5350.23 |
Total Drug Medicare PaymentAmount |
4188.17 |
Total Drug Medicare Standardized Payment Amount |
4188.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1299 |
Number Of Medicare Beneficiaries With Medical Services |
238 |
Total Medical Submitted Charge Amount |
577406 |
Total Medical Medicare Allowed Amount |
163982.35 |
Total Medical Medicare Payment Amount |
120984.61 |
Total Medical Medicare Standardized Payment Amount |
101869.65 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
66 |
Number Of Beneficiaries Age 75 to 84 |
63 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
160 |
Number Of Male Beneficiaries |
78 |
Number Of Non Hispanic White Beneficiaries |
199 |
Number Of Black or African American Beneficiaries |
20 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
183 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.5324 |