National Provider Identifier [NPI]: |
1649447335 |
Last Name Of The Provider |
PALMIERI |
First Name Of The Provider |
MARCO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
STONY BROOK UNIVERSITY HOSPITAL |
Street Address 2 Of The Provider |
DEPT ANESTHESIOLOGY - HSC4 |
City Of The Provider |
STONY BROOK |
Zip Code Of The Provider |
117948480 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
3198 |
Number Of Medicare Beneficiaries |
274 |
Total Submitted Charge Amount |
900636.5 |
Total Medicare Allowed Amount |
211580.04 |
Total Medicare Payment Amount |
161962.75 |
Total Medicare Standardized Payment Amount |
126972.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1894 |
Number Of Medicare Beneficiaries With Drug Services |
135 |
Total Drug Submitted ChargeAmount |
29045.5 |
Total Drug Medicare AllowedAmount |
6138 |
Total Drug Medicare PaymentAmount |
4780.13 |
Total Drug Medicare Standardized Payment Amount |
4780.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1304 |
Number Of Medicare Beneficiaries With Medical Services |
274 |
Total Medical Submitted Charge Amount |
871591 |
Total Medical Medicare Allowed Amount |
205442.04 |
Total Medical Medicare Payment Amount |
157182.62 |
Total Medical Medicare Standardized Payment Amount |
122192.31 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
97 |
Number Of Beneficiaries Age 75 to 84 |
69 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
163 |
Number Of Male Beneficiaries |
111 |
Number Of Non Hispanic White Beneficiaries |
243 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
215 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4778 |