National Provider Identifier [NPI]: |
1922169044 |
Last Name Of The Provider |
SACHER |
First Name Of The Provider |
HOWARD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
510 HICKSVILLE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MASSAPEQUA |
Zip Code Of The Provider |
117581203 |
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 |
138 |
Number Of Services |
24829 |
Number Of Medicare Beneficiaries |
981 |
Total Submitted Charge Amount |
4000730.1 |
Total Medicare Allowed Amount |
1405465.86 |
Total Medicare Payment Amount |
1110057.47 |
Total Medicare Standardized Payment Amount |
989386.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
938 |
Number Of Medicare Beneficiaries With Drug Services |
167 |
Total Drug Submitted ChargeAmount |
43267.25 |
Total Drug Medicare AllowedAmount |
30434.45 |
Total Drug Medicare PaymentAmount |
24087.84 |
Total Drug Medicare Standardized Payment Amount |
24087.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
132 |
Number Of Medical Services |
23891 |
Number Of Medicare Beneficiaries With Medical Services |
981 |
Total Medical Submitted Charge Amount |
3957462.85 |
Total Medical Medicare Allowed Amount |
1375031.41 |
Total Medical Medicare Payment Amount |
1085969.63 |
Total Medical Medicare Standardized Payment Amount |
965299.03 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
381 |
Number Of Beneficiaries Age 75 to 84 |
336 |
Number Of Beneficiaries Age Greater 84 |
198 |
Number Of Female Beneficiaries |
483 |
Number Of Male Beneficiaries |
498 |
Number Of Non Hispanic White Beneficiaries |
910 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
901 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4256 |