National Provider Identifier [NPI]: |
1427064195 |
Last Name Of The Provider |
AUSUBEL |
First Name Of The Provider |
KALMAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3736 HENRY HUDSON PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRONX |
Zip Code Of The Provider |
104631502 |
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 |
63 |
Number Of Services |
7978 |
Number Of Medicare Beneficiaries |
3031 |
Total Submitted Charge Amount |
3821721 |
Total Medicare Allowed Amount |
1286098.16 |
Total Medicare Payment Amount |
992924.36 |
Total Medicare Standardized Payment Amount |
866732.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
67 |
Number Of Medicare Beneficiaries With Drug Services |
64 |
Total Drug Submitted ChargeAmount |
2055 |
Total Drug Medicare AllowedAmount |
1102.17 |
Total Drug Medicare PaymentAmount |
1078.62 |
Total Drug Medicare Standardized Payment Amount |
1078.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
7911 |
Number Of Medicare Beneficiaries With Medical Services |
3031 |
Total Medical Submitted Charge Amount |
3819666 |
Total Medical Medicare Allowed Amount |
1284995.99 |
Total Medical Medicare Payment Amount |
991845.74 |
Total Medical Medicare Standardized Payment Amount |
865653.47 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
450 |
Number Of Beneficiaries Age 65 to 74 |
1247 |
Number Of Beneficiaries Age 75 to 84 |
874 |
Number Of Beneficiaries Age Greater 84 |
460 |
Number Of Female Beneficiaries |
1853 |
Number Of Male Beneficiaries |
1178 |
Number Of Non Hispanic White Beneficiaries |
1798 |
Number Of Black or African American Beneficiaries |
386 |
Number Of AsianPacific Islander Beneficiaries |
122 |
Number Of Hispanic Beneficiaries |
656 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1998 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1033 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2763 |