National Provider Identifier [NPI]: |
1285630731 |
Last Name Of The Provider |
CARUSO |
First Name Of The Provider |
ROCCO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2500 NESCONSET HWY |
Street Address 2 Of The Provider |
BLDG 26B |
City Of The Provider |
STONY BROOK |
Zip Code Of The Provider |
117902565 |
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 |
98 |
Number Of Services |
123406 |
Number Of Medicare Beneficiaries |
730 |
Total Submitted Charge Amount |
3544688.8 |
Total Medicare Allowed Amount |
2088004.93 |
Total Medicare Payment Amount |
1611131.3 |
Total Medicare Standardized Payment Amount |
1548096.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
61 |
Number Of Drug Services |
112956 |
Number Of Medicare Beneficiaries With Drug Services |
158 |
Total Drug Submitted ChargeAmount |
2837818.8 |
Total Drug Medicare AllowedAmount |
1545425.04 |
Total Drug Medicare PaymentAmount |
1196637.46 |
Total Drug Medicare Standardized Payment Amount |
1196637.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
10450 |
Number Of Medicare Beneficiaries With Medical Services |
730 |
Total Medical Submitted Charge Amount |
706870 |
Total Medical Medicare Allowed Amount |
542579.89 |
Total Medical Medicare Payment Amount |
414493.84 |
Total Medical Medicare Standardized Payment Amount |
351459.11 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
282 |
Number Of Beneficiaries Age 75 to 84 |
253 |
Number Of Beneficiaries Age Greater 84 |
124 |
Number Of Female Beneficiaries |
459 |
Number Of Male Beneficiaries |
271 |
Number Of Non Hispanic White Beneficiaries |
680 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
649 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
81 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.9256 |