National Provider Identifier [NPI]: |
1114151537 |
Last Name Of The Provider |
LAUD |
First Name Of The Provider |
KETAN |
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 |
360 MERRICK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LYNBROOK |
Zip Code Of The Provider |
115632526 |
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 |
46 |
Number Of Services |
10698 |
Number Of Medicare Beneficiaries |
1244 |
Total Submitted Charge Amount |
4754157 |
Total Medicare Allowed Amount |
2644241.65 |
Total Medicare Payment Amount |
2049558.96 |
Total Medicare Standardized Payment Amount |
1959857.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3219 |
Number Of Medicare Beneficiaries With Drug Services |
313 |
Total Drug Submitted ChargeAmount |
2138212 |
Total Drug Medicare AllowedAmount |
1826984.18 |
Total Drug Medicare PaymentAmount |
1427083.27 |
Total Drug Medicare Standardized Payment Amount |
1427083.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
7479 |
Number Of Medicare Beneficiaries With Medical Services |
1244 |
Total Medical Submitted Charge Amount |
2615945 |
Total Medical Medicare Allowed Amount |
817257.47 |
Total Medical Medicare Payment Amount |
622475.69 |
Total Medical Medicare Standardized Payment Amount |
532774.54 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
414 |
Number Of Beneficiaries Age 75 to 84 |
428 |
Number Of Beneficiaries Age Greater 84 |
321 |
Number Of Female Beneficiaries |
772 |
Number Of Male Beneficiaries |
472 |
Number Of Non Hispanic White Beneficiaries |
1063 |
Number Of Black or African American Beneficiaries |
91 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1087 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
157 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5444 |