National Provider Identifier [NPI]: |
1437355971 |
Last Name Of The Provider |
HAMMER |
First Name Of The Provider |
ADAM |
Middle Initial Of The Provider |
Z |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
36 LINCOLN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCKVILLE CENTRE |
Zip Code Of The Provider |
115705768 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
4541 |
Number Of Medicare Beneficiaries |
368 |
Total Submitted Charge Amount |
970428.21 |
Total Medicare Allowed Amount |
343679.41 |
Total Medicare Payment Amount |
265916.47 |
Total Medicare Standardized Payment Amount |
234004.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1924 |
Number Of Medicare Beneficiaries With Drug Services |
215 |
Total Drug Submitted ChargeAmount |
32420.98 |
Total Drug Medicare AllowedAmount |
11154.23 |
Total Drug Medicare PaymentAmount |
8675.68 |
Total Drug Medicare Standardized Payment Amount |
8675.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
2617 |
Number Of Medicare Beneficiaries With Medical Services |
368 |
Total Medical Submitted Charge Amount |
938007.23 |
Total Medical Medicare Allowed Amount |
332525.18 |
Total Medical Medicare Payment Amount |
257240.79 |
Total Medical Medicare Standardized Payment Amount |
225328.49 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
128 |
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
213 |
Number Of Male Beneficiaries |
155 |
Number Of Non Hispanic White Beneficiaries |
341 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
338 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5525 |