National Provider Identifier [NPI]: |
1083661458 |
Last Name Of The Provider |
CESA |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
45 RESEARCH WAY |
Street Address 2 Of The Provider |
SUITE 008 & 108 |
City Of The Provider |
EAST SETAUKET |
Zip Code Of The Provider |
117336401 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
4565 |
Number Of Medicare Beneficiaries |
2247 |
Total Submitted Charge Amount |
848529 |
Total Medicare Allowed Amount |
347512.02 |
Total Medicare Payment Amount |
265591.13 |
Total Medicare Standardized Payment Amount |
233952.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
239 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
22000 |
Total Drug Medicare AllowedAmount |
8769.84 |
Total Drug Medicare PaymentAmount |
6709.47 |
Total Drug Medicare Standardized Payment Amount |
6709.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
4326 |
Number Of Medicare Beneficiaries With Medical Services |
2247 |
Total Medical Submitted Charge Amount |
826529 |
Total Medical Medicare Allowed Amount |
338742.18 |
Total Medical Medicare Payment Amount |
258881.66 |
Total Medical Medicare Standardized Payment Amount |
227243.1 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
238 |
Number Of Beneficiaries Age 65 to 74 |
719 |
Number Of Beneficiaries Age 75 to 84 |
733 |
Number Of Beneficiaries Age Greater 84 |
557 |
Number Of Female Beneficiaries |
1189 |
Number Of Male Beneficiaries |
1058 |
Number Of Non Hispanic White Beneficiaries |
2095 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
73 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1860 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
387 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8691 |