National Provider Identifier [NPI]: |
1497727796 |
Last Name Of The Provider |
COMO |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
233 E SHORE RD |
Street Address 2 Of The Provider |
SUITE 112 |
City Of The Provider |
GREAT NECK |
Zip Code Of The Provider |
110232433 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
5243 |
Number Of Medicare Beneficiaries |
1218 |
Total Submitted Charge Amount |
580357.75 |
Total Medicare Allowed Amount |
566171.74 |
Total Medicare Payment Amount |
437637.11 |
Total Medicare Standardized Payment Amount |
388780.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
231 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
5796.46 |
Total Drug Medicare AllowedAmount |
5796.46 |
Total Drug Medicare PaymentAmount |
4739.17 |
Total Drug Medicare Standardized Payment Amount |
4739.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
5012 |
Number Of Medicare Beneficiaries With Medical Services |
1218 |
Total Medical Submitted Charge Amount |
574561.29 |
Total Medical Medicare Allowed Amount |
560375.28 |
Total Medical Medicare Payment Amount |
432897.94 |
Total Medical Medicare Standardized Payment Amount |
384041.34 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
317 |
Number Of Beneficiaries Age 75 to 84 |
435 |
Number Of Beneficiaries Age Greater 84 |
386 |
Number Of Female Beneficiaries |
572 |
Number Of Male Beneficiaries |
646 |
Number Of Non Hispanic White Beneficiaries |
1070 |
Number Of Black or African American Beneficiaries |
56 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1015 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
203 |
Percent Of With Atrial Fibrillation |
48 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
75 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
55 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.536 |