National Provider Identifier [NPI]: |
1578582466 |
Last Name Of The Provider |
DINOWITZ |
First Name Of The Provider |
MARC |
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 |
1333 E MAIN ST |
Street Address 2 Of The Provider |
C/O EAST END EYE ASSOCIATES |
City Of The Provider |
RIVERHEAD |
Zip Code Of The Provider |
119011524 |
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 |
37 |
Number Of Services |
3475 |
Number Of Medicare Beneficiaries |
1718 |
Total Submitted Charge Amount |
1267295 |
Total Medicare Allowed Amount |
544423.12 |
Total Medicare Payment Amount |
395106.81 |
Total Medicare Standardized Payment Amount |
340307.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
3475 |
Number Of Medicare Beneficiaries With Medical Services |
1718 |
Total Medical Submitted Charge Amount |
1267295 |
Total Medical Medicare Allowed Amount |
544423.12 |
Total Medical Medicare Payment Amount |
395106.81 |
Total Medical Medicare Standardized Payment Amount |
340307.44 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
756 |
Number Of Beneficiaries Age 75 to 84 |
569 |
Number Of Beneficiaries Age Greater 84 |
236 |
Number Of Female Beneficiaries |
1027 |
Number Of Male Beneficiaries |
691 |
Number Of Non Hispanic White Beneficiaries |
1574 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1510 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
208 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.135 |