National Provider Identifier [NPI]: |
1447293865 |
Last Name Of The Provider |
SCHULMAN |
First Name Of The Provider |
IRENE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4355 147TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLUSHING |
Zip Code Of The Provider |
113551736 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
9651 |
Number Of Medicare Beneficiaries |
2868 |
Total Submitted Charge Amount |
3592230.15 |
Total Medicare Allowed Amount |
1498230.64 |
Total Medicare Payment Amount |
1162879.41 |
Total Medicare Standardized Payment Amount |
1000625.07 |
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 |
39 |
Number Of Medical Services |
9651 |
Number Of Medicare Beneficiaries With Medical Services |
2868 |
Total Medical Submitted Charge Amount |
3592230.15 |
Total Medical Medicare Allowed Amount |
1498230.64 |
Total Medical Medicare Payment Amount |
1162879.41 |
Total Medical Medicare Standardized Payment Amount |
1000625.07 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
364 |
Number Of Beneficiaries Age 65 to 74 |
1221 |
Number Of Beneficiaries Age 75 to 84 |
888 |
Number Of Beneficiaries Age Greater 84 |
395 |
Number Of Female Beneficiaries |
1852 |
Number Of Male Beneficiaries |
1016 |
Number Of Non Hispanic White Beneficiaries |
1621 |
Number Of Black or African American Beneficiaries |
580 |
Number Of AsianPacific Islander Beneficiaries |
146 |
Number Of Hispanic Beneficiaries |
399 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1871 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
997 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2491 |