National Provider Identifier [NPI]: |
1669460226 |
Last Name Of The Provider |
VALENTINO |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
951 ROANOKE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
RIVERHEAD |
Zip Code Of The Provider |
119012724 |
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 |
75 |
Number Of Services |
4631 |
Number Of Medicare Beneficiaries |
1747 |
Total Submitted Charge Amount |
1390772 |
Total Medicare Allowed Amount |
556193.15 |
Total Medicare Payment Amount |
420450.08 |
Total Medicare Standardized Payment Amount |
369320.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
425 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
49157 |
Total Drug Medicare AllowedAmount |
20557.78 |
Total Drug Medicare PaymentAmount |
15740.89 |
Total Drug Medicare Standardized Payment Amount |
15740.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
4206 |
Number Of Medicare Beneficiaries With Medical Services |
1747 |
Total Medical Submitted Charge Amount |
1341615 |
Total Medical Medicare Allowed Amount |
535635.37 |
Total Medical Medicare Payment Amount |
404709.19 |
Total Medical Medicare Standardized Payment Amount |
353579.74 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
651 |
Number Of Beneficiaries Age 75 to 84 |
610 |
Number Of Beneficiaries Age Greater 84 |
370 |
Number Of Female Beneficiaries |
819 |
Number Of Male Beneficiaries |
928 |
Number Of Non Hispanic White Beneficiaries |
1554 |
Number Of Black or African American Beneficiaries |
103 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
1521 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
226 |
Percent Of With Atrial Fibrillation |
38 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7498 |