National Provider Identifier [NPI]: |
1316150287 |
Last Name Of The Provider |
HARDER |
First Name Of The Provider |
JONATHAN |
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 |
1220 NEW SCOTLAND RD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
SLINGERLANDS |
Zip Code Of The Provider |
121599386 |
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 |
33 |
Number Of Services |
7469 |
Number Of Medicare Beneficiaries |
681 |
Total Submitted Charge Amount |
964787.85 |
Total Medicare Allowed Amount |
762292.1 |
Total Medicare Payment Amount |
582813.15 |
Total Medicare Standardized Payment Amount |
571391.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2113 |
Number Of Medicare Beneficiaries With Drug Services |
246 |
Total Drug Submitted ChargeAmount |
216518 |
Total Drug Medicare AllowedAmount |
169502.61 |
Total Drug Medicare PaymentAmount |
132658.95 |
Total Drug Medicare Standardized Payment Amount |
132658.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
5356 |
Number Of Medicare Beneficiaries With Medical Services |
681 |
Total Medical Submitted Charge Amount |
748269.85 |
Total Medical Medicare Allowed Amount |
592789.49 |
Total Medical Medicare Payment Amount |
450154.2 |
Total Medical Medicare Standardized Payment Amount |
438732.56 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
251 |
Number Of Beneficiaries Age 75 to 84 |
248 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
411 |
Number Of Male Beneficiaries |
270 |
Number Of Non Hispanic White Beneficiaries |
649 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
639 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
29 |
Percent Of With Hypertension |
48 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.116 |