National Provider Identifier [NPI]: |
1457348781 |
Last Name Of The Provider |
ANDREWS |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
550 HARRISON ST STE 340 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SYRACUSE |
Zip Code Of The Provider |
132023064 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
2311 |
Number Of Medicare Beneficiaries |
479 |
Total Submitted Charge Amount |
598547.69 |
Total Medicare Allowed Amount |
376560.83 |
Total Medicare Payment Amount |
287105.29 |
Total Medicare Standardized Payment Amount |
293881.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
370 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
283929.76 |
Total Drug Medicare AllowedAmount |
218302.8 |
Total Drug Medicare PaymentAmount |
171046.29 |
Total Drug Medicare Standardized Payment Amount |
171046.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1941 |
Number Of Medicare Beneficiaries With Medical Services |
479 |
Total Medical Submitted Charge Amount |
314617.93 |
Total Medical Medicare Allowed Amount |
158258.03 |
Total Medical Medicare Payment Amount |
116059 |
Total Medical Medicare Standardized Payment Amount |
122835.18 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
132 |
Number Of Beneficiaries Age 75 to 84 |
127 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
278 |
Number Of Male Beneficiaries |
201 |
Number Of Non Hispanic White Beneficiaries |
359 |
Number Of Black or African American Beneficiaries |
79 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
13 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
312 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
167 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.6839 |