National Provider Identifier [NPI]: |
1326018631 |
Last Name Of The Provider |
HOSMANE |
First Name Of The Provider |
VINAY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4745 OGLETOWN STANTON RD # 1 |
Street Address 2 Of The Provider |
SUITE 135 |
City Of The Provider |
NEWARK |
Zip Code Of The Provider |
197132067 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
2767 |
Number Of Medicare Beneficiaries |
802 |
Total Submitted Charge Amount |
719383 |
Total Medicare Allowed Amount |
293263.41 |
Total Medicare Payment Amount |
223193.48 |
Total Medicare Standardized Payment Amount |
220987.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
138 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
12973 |
Total Drug Medicare AllowedAmount |
7144.17 |
Total Drug Medicare PaymentAmount |
5445.13 |
Total Drug Medicare Standardized Payment Amount |
5445.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
2629 |
Number Of Medicare Beneficiaries With Medical Services |
802 |
Total Medical Submitted Charge Amount |
706410 |
Total Medical Medicare Allowed Amount |
286119.24 |
Total Medical Medicare Payment Amount |
217748.35 |
Total Medical Medicare Standardized Payment Amount |
215542.08 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
270 |
Number Of Beneficiaries Age 75 to 84 |
260 |
Number Of Beneficiaries Age Greater 84 |
156 |
Number Of Female Beneficiaries |
425 |
Number Of Male Beneficiaries |
377 |
Number Of Non Hispanic White Beneficiaries |
586 |
Number Of Black or African American Beneficiaries |
178 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
623 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
179 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
2.1948 |