National Provider Identifier [NPI]: |
1104806561 |
Last Name Of The Provider |
MANARIS |
First Name Of The Provider |
ANASTASIOS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
540 UNION BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST ISLIP |
Zip Code Of The Provider |
117953105 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
3957 |
Number Of Medicare Beneficiaries |
2018 |
Total Submitted Charge Amount |
623638.42 |
Total Medicare Allowed Amount |
238030.82 |
Total Medicare Payment Amount |
183920.28 |
Total Medicare Standardized Payment Amount |
164676.81 |
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 |
63 |
Number Of Medical Services |
3957 |
Number Of Medicare Beneficiaries With Medical Services |
2018 |
Total Medical Submitted Charge Amount |
623638.42 |
Total Medical Medicare Allowed Amount |
238030.82 |
Total Medical Medicare Payment Amount |
183920.28 |
Total Medical Medicare Standardized Payment Amount |
164676.81 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
323 |
Number Of Beneficiaries Age 65 to 74 |
547 |
Number Of Beneficiaries Age 75 to 84 |
659 |
Number Of Beneficiaries Age Greater 84 |
489 |
Number Of Female Beneficiaries |
1116 |
Number Of Male Beneficiaries |
902 |
Number Of Non Hispanic White Beneficiaries |
1603 |
Number Of Black or African American Beneficiaries |
180 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
180 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1430 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
588 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.1118 |