National Provider Identifier [NPI]: |
1306873443 |
Last Name Of The Provider |
CANTOR |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2 EXECUTIVE BLVD |
Street Address 2 Of The Provider |
SUITE 406 |
City Of The Provider |
SUFFERN |
Zip Code Of The Provider |
10901 |
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 |
36 |
Number Of Services |
4932 |
Number Of Medicare Beneficiaries |
1399 |
Total Submitted Charge Amount |
1060055.78 |
Total Medicare Allowed Amount |
441797.11 |
Total Medicare Payment Amount |
329661.24 |
Total Medicare Standardized Payment Amount |
298117.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
152 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
9120 |
Total Drug Medicare AllowedAmount |
8045.14 |
Total Drug Medicare PaymentAmount |
6307.36 |
Total Drug Medicare Standardized Payment Amount |
6307.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
4780 |
Number Of Medicare Beneficiaries With Medical Services |
1399 |
Total Medical Submitted Charge Amount |
1050935.78 |
Total Medical Medicare Allowed Amount |
433751.97 |
Total Medical Medicare Payment Amount |
323353.88 |
Total Medical Medicare Standardized Payment Amount |
291810.61 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
471 |
Number Of Beneficiaries Age 75 to 84 |
482 |
Number Of Beneficiaries Age Greater 84 |
318 |
Number Of Female Beneficiaries |
697 |
Number Of Male Beneficiaries |
702 |
Number Of Non Hispanic White Beneficiaries |
1146 |
Number Of Black or African American Beneficiaries |
110 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
80 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1044 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
355 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.0195 |