National Provider Identifier [NPI]: |
1245280528 |
Last Name Of The Provider |
D'AVINO |
First Name Of The Provider |
ROBERT |
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 |
850 HICKSVILLE RD |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
SEAFORD |
Zip Code Of The Provider |
117831300 |
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 |
58 |
Number Of Services |
2885 |
Number Of Medicare Beneficiaries |
731 |
Total Submitted Charge Amount |
1038971.39 |
Total Medicare Allowed Amount |
236333.57 |
Total Medicare Payment Amount |
178465.24 |
Total Medicare Standardized Payment Amount |
150608.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
55 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
2696.6 |
Total Drug Medicare AllowedAmount |
138.82 |
Total Drug Medicare PaymentAmount |
115.46 |
Total Drug Medicare Standardized Payment Amount |
115.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
2830 |
Number Of Medicare Beneficiaries With Medical Services |
731 |
Total Medical Submitted Charge Amount |
1036274.79 |
Total Medical Medicare Allowed Amount |
236194.75 |
Total Medical Medicare Payment Amount |
178349.78 |
Total Medical Medicare Standardized Payment Amount |
150493.16 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
179 |
Number Of Beneficiaries Age 75 to 84 |
247 |
Number Of Beneficiaries Age Greater 84 |
230 |
Number Of Female Beneficiaries |
413 |
Number Of Male Beneficiaries |
318 |
Number Of Non Hispanic White Beneficiaries |
671 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
583 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
148 |
Percent Of With Atrial Fibrillation |
37 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.0144 |