National Provider Identifier [NPI]: |
1407891658 |
Last Name Of The Provider |
PAK |
First Name Of The Provider |
EUGENE |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
425 W 59TH ST |
Street Address 2 Of The Provider |
SUITE 6A |
City Of The Provider |
NEW YORK |
Zip Code Of The Provider |
100191104 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
29348 |
Number Of Medicare Beneficiaries |
1384 |
Total Submitted Charge Amount |
3517269.04 |
Total Medicare Allowed Amount |
1145341.04 |
Total Medicare Payment Amount |
860480.68 |
Total Medicare Standardized Payment Amount |
767950.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
19430 |
Number Of Medicare Beneficiaries With Drug Services |
395 |
Total Drug Submitted ChargeAmount |
665368.92 |
Total Drug Medicare AllowedAmount |
231677.62 |
Total Drug Medicare PaymentAmount |
176412.71 |
Total Drug Medicare Standardized Payment Amount |
176412.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
9918 |
Number Of Medicare Beneficiaries With Medical Services |
1384 |
Total Medical Submitted Charge Amount |
2851900.12 |
Total Medical Medicare Allowed Amount |
913663.42 |
Total Medical Medicare Payment Amount |
684067.97 |
Total Medical Medicare Standardized Payment Amount |
591538.05 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
329 |
Number Of Beneficiaries Age 65 to 74 |
510 |
Number Of Beneficiaries Age 75 to 84 |
405 |
Number Of Beneficiaries Age Greater 84 |
140 |
Number Of Female Beneficiaries |
864 |
Number Of Male Beneficiaries |
520 |
Number Of Non Hispanic White Beneficiaries |
1217 |
Number Of Black or African American Beneficiaries |
61 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
88 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1041 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
343 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.3845 |