National Provider Identifier [NPI]: |
1194703264 |
Last Name Of The Provider |
ADLER |
First Name Of The Provider |
NEIL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
260 N ROUTE 303 |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST NYACK |
Zip Code Of The Provider |
109941608 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
10418 |
Number Of Medicare Beneficiaries |
1567 |
Total Submitted Charge Amount |
1068245 |
Total Medicare Allowed Amount |
284576.51 |
Total Medicare Payment Amount |
236588.31 |
Total Medicare Standardized Payment Amount |
200864.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
5506 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
19200 |
Total Drug Medicare AllowedAmount |
1560.24 |
Total Drug Medicare PaymentAmount |
1212.96 |
Total Drug Medicare Standardized Payment Amount |
1212.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
4912 |
Number Of Medicare Beneficiaries With Medical Services |
1567 |
Total Medical Submitted Charge Amount |
1049045 |
Total Medical Medicare Allowed Amount |
283016.27 |
Total Medical Medicare Payment Amount |
235375.35 |
Total Medical Medicare Standardized Payment Amount |
199651.97 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
180 |
Number Of Beneficiaries Age 65 to 74 |
699 |
Number Of Beneficiaries Age 75 to 84 |
487 |
Number Of Beneficiaries Age Greater 84 |
201 |
Number Of Female Beneficiaries |
1181 |
Number Of Male Beneficiaries |
386 |
Number Of Non Hispanic White Beneficiaries |
1089 |
Number Of Black or African American Beneficiaries |
200 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
172 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
55 |
Number Of Beneficiaries With Medicare Only Entitlement |
1196 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
371 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1509 |