National Provider Identifier [NPI]: |
1245371129 |
Last Name Of The Provider |
HYDER |
First Name Of The Provider |
CARL |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
73 SOUTH MAIN STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
MEDFORD |
Zip Code Of The Provider |
08055 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
7598 |
Number Of Medicare Beneficiaries |
3764 |
Total Submitted Charge Amount |
2489479 |
Total Medicare Allowed Amount |
1151681.28 |
Total Medicare Payment Amount |
824634.54 |
Total Medicare Standardized Payment Amount |
762781.83 |
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 |
35 |
Number Of Medical Services |
7598 |
Number Of Medicare Beneficiaries With Medical Services |
3764 |
Total Medical Submitted Charge Amount |
2489479 |
Total Medical Medicare Allowed Amount |
1151681.28 |
Total Medical Medicare Payment Amount |
824634.54 |
Total Medical Medicare Standardized Payment Amount |
762781.83 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
206 |
Number Of Beneficiaries Age 65 to 74 |
1600 |
Number Of Beneficiaries Age 75 to 84 |
1323 |
Number Of Beneficiaries Age Greater 84 |
635 |
Number Of Female Beneficiaries |
2298 |
Number Of Male Beneficiaries |
1466 |
Number Of Non Hispanic White Beneficiaries |
3346 |
Number Of Black or African American Beneficiaries |
230 |
Number Of AsianPacific Islander Beneficiaries |
73 |
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
63 |
Number Of Beneficiaries With Medicare Only Entitlement |
3519 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
245 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.012 |