National Provider Identifier [NPI]: |
1306911136 |
Last Name Of The Provider |
INGRASSIA |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
36 COLLEGE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
NANUET |
Zip Code Of The Provider |
109543093 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
2891 |
Number Of Medicare Beneficiaries |
823 |
Total Submitted Charge Amount |
264760 |
Total Medicare Allowed Amount |
222102.72 |
Total Medicare Payment Amount |
160503.74 |
Total Medicare Standardized Payment Amount |
137528.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
332 |
Number Of Medicare Beneficiaries With Drug Services |
306 |
Total Drug Submitted ChargeAmount |
17135 |
Total Drug Medicare AllowedAmount |
6424 |
Total Drug Medicare PaymentAmount |
6271.98 |
Total Drug Medicare Standardized Payment Amount |
6271.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
2559 |
Number Of Medicare Beneficiaries With Medical Services |
823 |
Total Medical Submitted Charge Amount |
247625 |
Total Medical Medicare Allowed Amount |
215678.72 |
Total Medical Medicare Payment Amount |
154231.76 |
Total Medical Medicare Standardized Payment Amount |
131256.32 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
318 |
Number Of Beneficiaries Age 75 to 84 |
252 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
441 |
Number Of Male Beneficiaries |
382 |
Number Of Non Hispanic White Beneficiaries |
725 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
700 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
123 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9497 |