National Provider Identifier [NPI]: |
1780799148 |
Last Name Of The Provider |
CAMESAS |
First Name Of The Provider |
ADRIENNE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
79 DEER PARK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BABYLON |
Zip Code Of The Provider |
11702 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
6220 |
Number Of Medicare Beneficiaries |
1646 |
Total Submitted Charge Amount |
772956.42 |
Total Medicare Allowed Amount |
404896.7 |
Total Medicare Payment Amount |
302786.01 |
Total Medicare Standardized Payment Amount |
265639.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
273 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
16350.05 |
Total Drug Medicare AllowedAmount |
14409.54 |
Total Drug Medicare PaymentAmount |
11297.01 |
Total Drug Medicare Standardized Payment Amount |
11297.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
5947 |
Number Of Medicare Beneficiaries With Medical Services |
1646 |
Total Medical Submitted Charge Amount |
756606.37 |
Total Medical Medicare Allowed Amount |
390487.16 |
Total Medical Medicare Payment Amount |
291489 |
Total Medical Medicare Standardized Payment Amount |
254342.16 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
173 |
Number Of Beneficiaries Age 65 to 74 |
446 |
Number Of Beneficiaries Age 75 to 84 |
577 |
Number Of Beneficiaries Age Greater 84 |
450 |
Number Of Female Beneficiaries |
927 |
Number Of Male Beneficiaries |
719 |
Number Of Non Hispanic White Beneficiaries |
1373 |
Number Of Black or African American Beneficiaries |
145 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
79 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
1237 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
409 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.9751 |