National Provider Identifier [NPI]: |
1124267513 |
Last Name Of The Provider |
SADLOFSKY |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DO |
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 204 |
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 |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
4834 |
Number Of Medicare Beneficiaries |
1963 |
Total Submitted Charge Amount |
1344760 |
Total Medicare Allowed Amount |
555303.21 |
Total Medicare Payment Amount |
424759.63 |
Total Medicare Standardized Payment Amount |
371205.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
377 |
Number Of Medicare Beneficiaries With Drug Services |
95 |
Total Drug Submitted ChargeAmount |
34945 |
Total Drug Medicare AllowedAmount |
13935.06 |
Total Drug Medicare PaymentAmount |
10757.27 |
Total Drug Medicare Standardized Payment Amount |
10757.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
4457 |
Number Of Medicare Beneficiaries With Medical Services |
1963 |
Total Medical Submitted Charge Amount |
1309815 |
Total Medical Medicare Allowed Amount |
541368.15 |
Total Medical Medicare Payment Amount |
414002.36 |
Total Medical Medicare Standardized Payment Amount |
360448.54 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
728 |
Number Of Beneficiaries Age 75 to 84 |
676 |
Number Of Beneficiaries Age Greater 84 |
404 |
Number Of Female Beneficiaries |
1034 |
Number Of Male Beneficiaries |
929 |
Number Of Non Hispanic White Beneficiaries |
1816 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
69 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1689 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
274 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7255 |