National Provider Identifier [NPI]: |
1306951736 |
Last Name Of The Provider |
SALADINO |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
407 GIDNEY AVE |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
NEWBURGH |
Zip Code Of The Provider |
125503741 |
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 |
69 |
Number Of Services |
2978 |
Number Of Medicare Beneficiaries |
217 |
Total Submitted Charge Amount |
379387 |
Total Medicare Allowed Amount |
183852.2 |
Total Medicare Payment Amount |
142869.02 |
Total Medicare Standardized Payment Amount |
140360.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
315 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
9035 |
Total Drug Medicare AllowedAmount |
3531.24 |
Total Drug Medicare PaymentAmount |
3402.03 |
Total Drug Medicare Standardized Payment Amount |
3402.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
2663 |
Number Of Medicare Beneficiaries With Medical Services |
217 |
Total Medical Submitted Charge Amount |
370352 |
Total Medical Medicare Allowed Amount |
180320.96 |
Total Medical Medicare Payment Amount |
139466.99 |
Total Medical Medicare Standardized Payment Amount |
136958.73 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
73 |
Number Of Beneficiaries Age 75 to 84 |
54 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
126 |
Number Of Male Beneficiaries |
91 |
Number Of Non Hispanic White Beneficiaries |
107 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
116 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
101 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.5503 |