National Provider Identifier [NPI]: |
1689724205 |
Last Name Of The Provider |
FURMAN |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
DC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
135 JERICHO TPKE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HUNTINGTON STATION |
Zip Code Of The Provider |
117463649 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Chiropractic |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
2 |
Number Of Services |
4360 |
Number Of Medicare Beneficiaries |
196 |
Total Submitted Charge Amount |
120888.6 |
Total Medicare Allowed Amount |
120656.27 |
Total Medicare Payment Amount |
90963.44 |
Total Medicare Standardized Payment Amount |
93114.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
2 |
Number Of Medical Services |
4360 |
Number Of Medicare Beneficiaries With Medical Services |
196 |
Total Medical Submitted Charge Amount |
120888.6 |
Total Medical Medicare Allowed Amount |
120656.27 |
Total Medical Medicare Payment Amount |
90963.44 |
Total Medical Medicare Standardized Payment Amount |
93114.14 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
72 |
Number Of Beneficiaries Age 75 to 84 |
50 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
73 |
Number Of Male Beneficiaries |
123 |
Number Of Non Hispanic White Beneficiaries |
159 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
112 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
84 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
38 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2995 |