National Provider Identifier [NPI]: |
1760486443 |
Last Name Of The Provider |
JABLONSKI |
First Name Of The Provider |
REGINA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
235 N BELLE MEAD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
E SETAUKET |
Zip Code Of The Provider |
117333456 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
222 |
Number Of Services |
233696 |
Number Of Medicare Beneficiaries |
1623 |
Total Submitted Charge Amount |
7890166 |
Total Medicare Allowed Amount |
3656880.06 |
Total Medicare Payment Amount |
2873437.58 |
Total Medicare Standardized Payment Amount |
2788378.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
93 |
Number Of Drug Services |
205334 |
Number Of Medicare Beneficiaries With Drug Services |
688 |
Total Drug Submitted ChargeAmount |
4482592.63 |
Total Drug Medicare AllowedAmount |
2435394.19 |
Total Drug Medicare PaymentAmount |
1905214.5 |
Total Drug Medicare Standardized Payment Amount |
1905214.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
129 |
Number Of Medical Services |
28362 |
Number Of Medicare Beneficiaries With Medical Services |
1623 |
Total Medical Submitted Charge Amount |
3407573.37 |
Total Medical Medicare Allowed Amount |
1221485.87 |
Total Medical Medicare Payment Amount |
968223.08 |
Total Medical Medicare Standardized Payment Amount |
883164.41 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
184 |
Number Of Beneficiaries Age 65 to 74 |
596 |
Number Of Beneficiaries Age 75 to 84 |
585 |
Number Of Beneficiaries Age Greater 84 |
258 |
Number Of Female Beneficiaries |
979 |
Number Of Male Beneficiaries |
644 |
Number Of Non Hispanic White Beneficiaries |
1498 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
58 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1382 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
241 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
43 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.0901 |