National Provider Identifier [NPI]: |
1013000405 |
Last Name Of The Provider |
GASPARINI |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
119 NEW YORK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MASSAPEQUA |
Zip Code Of The Provider |
117584601 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
10959 |
Number Of Medicare Beneficiaries |
1579 |
Total Submitted Charge Amount |
728395.63 |
Total Medicare Allowed Amount |
602132.22 |
Total Medicare Payment Amount |
439909.8 |
Total Medicare Standardized Payment Amount |
429018.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
117 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
1170 |
Total Drug Medicare AllowedAmount |
97.64 |
Total Drug Medicare PaymentAmount |
76.49 |
Total Drug Medicare Standardized Payment Amount |
76.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
10842 |
Number Of Medicare Beneficiaries With Medical Services |
1579 |
Total Medical Submitted Charge Amount |
727225.63 |
Total Medical Medicare Allowed Amount |
602034.58 |
Total Medical Medicare Payment Amount |
439833.31 |
Total Medical Medicare Standardized Payment Amount |
428941.72 |
Average Age Of Beneficiaries |
83 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
218 |
Number Of Beneficiaries Age 75 to 84 |
426 |
Number Of Beneficiaries Age Greater 84 |
850 |
Number Of Female Beneficiaries |
1044 |
Number Of Male Beneficiaries |
535 |
Number Of Non Hispanic White Beneficiaries |
1453 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1038 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
541 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
64 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.1756 |