National Provider Identifier [NPI]: |
1316972367 |
Last Name Of The Provider |
SCHLESSINGER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
75 FROEHLICH FARM BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WOODBURY |
Zip Code Of The Provider |
117972903 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
11949 |
Number Of Medicare Beneficiaries |
555 |
Total Submitted Charge Amount |
1802480.25 |
Total Medicare Allowed Amount |
513314.23 |
Total Medicare Payment Amount |
391860.4 |
Total Medicare Standardized Payment Amount |
331160.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
7603 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
156891.75 |
Total Drug Medicare AllowedAmount |
36907.51 |
Total Drug Medicare PaymentAmount |
28863.83 |
Total Drug Medicare Standardized Payment Amount |
28863.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
4346 |
Number Of Medicare Beneficiaries With Medical Services |
555 |
Total Medical Submitted Charge Amount |
1645588.5 |
Total Medical Medicare Allowed Amount |
476406.72 |
Total Medical Medicare Payment Amount |
362996.57 |
Total Medical Medicare Standardized Payment Amount |
302296.41 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
237 |
Number Of Beneficiaries Age 75 to 84 |
191 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
319 |
Number Of Male Beneficiaries |
236 |
Number Of Non Hispanic White Beneficiaries |
503 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
517 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.0698 |