National Provider Identifier [NPI]: |
1346209400 |
Last Name Of The Provider |
RESNIK |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
930 SE CARY PARKWAY |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
CARY |
Zip Code Of The Provider |
27518 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
3751 |
Number Of Medicare Beneficiaries |
487 |
Total Submitted Charge Amount |
267939.56 |
Total Medicare Allowed Amount |
168227.41 |
Total Medicare Payment Amount |
125456.61 |
Total Medicare Standardized Payment Amount |
131239.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
504 |
Number Of Medicare Beneficiaries With Drug Services |
304 |
Total Drug Submitted ChargeAmount |
36196 |
Total Drug Medicare AllowedAmount |
30970.14 |
Total Drug Medicare PaymentAmount |
30304.53 |
Total Drug Medicare Standardized Payment Amount |
30304.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
3247 |
Number Of Medicare Beneficiaries With Medical Services |
487 |
Total Medical Submitted Charge Amount |
231743.56 |
Total Medical Medicare Allowed Amount |
137257.27 |
Total Medical Medicare Payment Amount |
95152.08 |
Total Medical Medicare Standardized Payment Amount |
100934.62 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
349 |
Number Of Beneficiaries Age 75 to 84 |
93 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
223 |
Number Of Male Beneficiaries |
264 |
Number Of Non Hispanic White Beneficiaries |
440 |
Number Of Black or African American Beneficiaries |
24 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7665 |