National Provider Identifier [NPI]: |
1235166331 |
Last Name Of The Provider |
TOKAR |
First Name Of The Provider |
STANLEY |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
175 E MAIN ST |
Street Address 2 Of The Provider |
SUITE 107 |
City Of The Provider |
HUNTINGTON |
Zip Code Of The Provider |
117432939 |
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 |
67 |
Number Of Services |
7510 |
Number Of Medicare Beneficiaries |
637 |
Total Submitted Charge Amount |
1138974.83 |
Total Medicare Allowed Amount |
541978.31 |
Total Medicare Payment Amount |
416375.65 |
Total Medicare Standardized Payment Amount |
374067.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
192 |
Number Of Medicare Beneficiaries With Drug Services |
150 |
Total Drug Submitted ChargeAmount |
6347.88 |
Total Drug Medicare AllowedAmount |
4120 |
Total Drug Medicare PaymentAmount |
3966.57 |
Total Drug Medicare Standardized Payment Amount |
3966.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
7318 |
Number Of Medicare Beneficiaries With Medical Services |
637 |
Total Medical Submitted Charge Amount |
1132626.95 |
Total Medical Medicare Allowed Amount |
537858.31 |
Total Medical Medicare Payment Amount |
412409.08 |
Total Medical Medicare Standardized Payment Amount |
370101.07 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
200 |
Number Of Beneficiaries Age 75 to 84 |
182 |
Number Of Beneficiaries Age Greater 84 |
206 |
Number Of Female Beneficiaries |
377 |
Number Of Male Beneficiaries |
260 |
Number Of Non Hispanic White Beneficiaries |
530 |
Number Of Black or African American Beneficiaries |
72 |
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 |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
502 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
135 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
35 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.5441 |