National Provider Identifier [NPI]: |
1366486995 |
Last Name Of The Provider |
PANZER |
First Name Of The Provider |
ARNOLD |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
986 SUNRISE HIGHWAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTH BABYLON |
Zip Code Of The Provider |
11703 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
3271 |
Number Of Medicare Beneficiaries |
504 |
Total Submitted Charge Amount |
191708.32 |
Total Medicare Allowed Amount |
181354.32 |
Total Medicare Payment Amount |
133192.55 |
Total Medicare Standardized Payment Amount |
115330.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
244 |
Number Of Medicare Beneficiaries With Drug Services |
117 |
Total Drug Submitted ChargeAmount |
4924.39 |
Total Drug Medicare AllowedAmount |
1358.88 |
Total Drug Medicare PaymentAmount |
1303.57 |
Total Drug Medicare Standardized Payment Amount |
1303.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
3027 |
Number Of Medicare Beneficiaries With Medical Services |
504 |
Total Medical Submitted Charge Amount |
186783.93 |
Total Medical Medicare Allowed Amount |
179995.44 |
Total Medical Medicare Payment Amount |
131888.98 |
Total Medical Medicare Standardized Payment Amount |
114027.06 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
239 |
Number Of Beneficiaries Age 75 to 84 |
137 |
Number Of Beneficiaries Age Greater 84 |
48 |
Number Of Female Beneficiaries |
288 |
Number Of Male Beneficiaries |
216 |
Number Of Non Hispanic White Beneficiaries |
461 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
465 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9907 |