National Provider Identifier [NPI]: |
1760408199 |
Last Name Of The Provider |
FAUST |
First Name Of The Provider |
ALFRED |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
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 |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
1637 |
Number Of Medicare Beneficiaries |
472 |
Total Submitted Charge Amount |
489142.74 |
Total Medicare Allowed Amount |
415833.12 |
Total Medicare Payment Amount |
321765.79 |
Total Medicare Standardized Payment Amount |
266318.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
111 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
1357.52 |
Total Drug Medicare AllowedAmount |
1263.51 |
Total Drug Medicare PaymentAmount |
990.49 |
Total Drug Medicare Standardized Payment Amount |
990.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
1526 |
Number Of Medicare Beneficiaries With Medical Services |
472 |
Total Medical Submitted Charge Amount |
487785.22 |
Total Medical Medicare Allowed Amount |
414569.61 |
Total Medical Medicare Payment Amount |
320775.3 |
Total Medical Medicare Standardized Payment Amount |
265327.8 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
170 |
Number Of Beneficiaries Age 75 to 84 |
136 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
292 |
Number Of Male Beneficiaries |
180 |
Number Of Non Hispanic White Beneficiaries |
403 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
402 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2303 |