National Provider Identifier [NPI]: |
1477525954 |
Last Name Of The Provider |
STRAUSS |
First Name Of The Provider |
ILSE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
PHYSICAN ASSISTANT |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
260 MIDDLE COUNTRY RD |
Street Address 2 Of The Provider |
SUITE 208 |
City Of The Provider |
SMITHTOWN |
Zip Code Of The Provider |
117872982 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
1856 |
Number Of Medicare Beneficiaries |
278 |
Total Submitted Charge Amount |
177200 |
Total Medicare Allowed Amount |
111416.78 |
Total Medicare Payment Amount |
84137.88 |
Total Medicare Standardized Payment Amount |
84131.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
58 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
11030 |
Total Drug Medicare AllowedAmount |
7796.95 |
Total Drug Medicare PaymentAmount |
6112.77 |
Total Drug Medicare Standardized Payment Amount |
6112.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1798 |
Number Of Medicare Beneficiaries With Medical Services |
278 |
Total Medical Submitted Charge Amount |
166170 |
Total Medical Medicare Allowed Amount |
103619.83 |
Total Medical Medicare Payment Amount |
78025.11 |
Total Medical Medicare Standardized Payment Amount |
78018.71 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
179 |
Number Of Beneficiaries Age 75 to 84 |
59 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
205 |
Number Of Male Beneficiaries |
73 |
Number Of Non Hispanic White Beneficiaries |
263 |
Number Of Black or African American Beneficiaries |
|
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 |
258 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.867 |