National Provider Identifier [NPI]: |
1366412280 |
Last Name Of The Provider |
SCARLATA |
First Name Of The Provider |
ROBIN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
150 E SUNRISE HWY |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
LINDENHURST |
Zip Code Of The Provider |
117572598 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
13135 |
Number Of Medicare Beneficiaries |
1013 |
Total Submitted Charge Amount |
755368.28 |
Total Medicare Allowed Amount |
262699.11 |
Total Medicare Payment Amount |
198095.65 |
Total Medicare Standardized Payment Amount |
169696.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
11871 |
Number Of Medicare Beneficiaries With Drug Services |
165 |
Total Drug Submitted ChargeAmount |
4600.89 |
Total Drug Medicare AllowedAmount |
2231.79 |
Total Drug Medicare PaymentAmount |
1709.34 |
Total Drug Medicare Standardized Payment Amount |
1709.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
1264 |
Number Of Medicare Beneficiaries With Medical Services |
1013 |
Total Medical Submitted Charge Amount |
750767.39 |
Total Medical Medicare Allowed Amount |
260467.32 |
Total Medical Medicare Payment Amount |
196386.31 |
Total Medical Medicare Standardized Payment Amount |
167987.64 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
117 |
Number Of Beneficiaries Age 65 to 74 |
470 |
Number Of Beneficiaries Age 75 to 84 |
319 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
536 |
Number Of Male Beneficiaries |
477 |
Number Of Non Hispanic White Beneficiaries |
932 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
907 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
106 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3597 |