National Provider Identifier [NPI]: |
1215997887 |
Last Name Of The Provider |
BALOT |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
150 E SUNRISE HWY |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
LINDENHURST |
Zip Code Of The Provider |
117572598 |
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 |
61 |
Number Of Services |
9575 |
Number Of Medicare Beneficiaries |
876 |
Total Submitted Charge Amount |
565968.02 |
Total Medicare Allowed Amount |
543098.38 |
Total Medicare Payment Amount |
400526.17 |
Total Medicare Standardized Payment Amount |
446032.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
352 |
Number Of Medicare Beneficiaries With Drug Services |
236 |
Total Drug Submitted ChargeAmount |
16414 |
Total Drug Medicare AllowedAmount |
7696.72 |
Total Drug Medicare PaymentAmount |
7481.1 |
Total Drug Medicare Standardized Payment Amount |
7481.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
9223 |
Number Of Medicare Beneficiaries With Medical Services |
876 |
Total Medical Submitted Charge Amount |
549554.02 |
Total Medical Medicare Allowed Amount |
535401.66 |
Total Medical Medicare Payment Amount |
393045.07 |
Total Medical Medicare Standardized Payment Amount |
438550.95 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
54 |
Number Of Beneficiaries Age 65 to 74 |
231 |
Number Of Beneficiaries Age 75 to 84 |
272 |
Number Of Beneficiaries Age Greater 84 |
319 |
Number Of Female Beneficiaries |
569 |
Number Of Male Beneficiaries |
307 |
Number Of Non Hispanic White Beneficiaries |
757 |
Number Of Black or African American Beneficiaries |
70 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
498 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
378 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
45 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.8204 |