National Provider Identifier [NPI]: |
1063525046 |
Last Name Of The Provider |
DESVARIEUX |
First Name Of The Provider |
MARIE-EDOUARD |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D., M.S. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3 E MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BAY SHORE |
Zip Code Of The Provider |
117068303 |
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 |
54 |
Number Of Services |
3955 |
Number Of Medicare Beneficiaries |
1061 |
Total Submitted Charge Amount |
810246.4 |
Total Medicare Allowed Amount |
460448.72 |
Total Medicare Payment Amount |
349924.44 |
Total Medicare Standardized Payment Amount |
308471.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
438 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
26571.4 |
Total Drug Medicare AllowedAmount |
16334.96 |
Total Drug Medicare PaymentAmount |
12380.74 |
Total Drug Medicare Standardized Payment Amount |
12380.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
3517 |
Number Of Medicare Beneficiaries With Medical Services |
1061 |
Total Medical Submitted Charge Amount |
783675 |
Total Medical Medicare Allowed Amount |
444113.76 |
Total Medical Medicare Payment Amount |
337543.7 |
Total Medical Medicare Standardized Payment Amount |
296091.22 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
229 |
Number Of Beneficiaries Age 65 to 74 |
371 |
Number Of Beneficiaries Age 75 to 84 |
284 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
595 |
Number Of Male Beneficiaries |
466 |
Number Of Non Hispanic White Beneficiaries |
784 |
Number Of Black or African American Beneficiaries |
123 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
125 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
725 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
336 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7142 |