National Provider Identifier [NPI]: |
1659309920 |
Last Name Of The Provider |
KAMATH |
First Name Of The Provider |
SACHIN |
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 |
3541 JERUSALEM AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WANTAGH |
Zip Code Of The Provider |
117932005 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
8071 |
Number Of Medicare Beneficiaries |
696 |
Total Submitted Charge Amount |
535486.4 |
Total Medicare Allowed Amount |
406460.33 |
Total Medicare Payment Amount |
325025.64 |
Total Medicare Standardized Payment Amount |
290510.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
228 |
Number Of Medicare Beneficiaries With Drug Services |
140 |
Total Drug Submitted ChargeAmount |
6225 |
Total Drug Medicare AllowedAmount |
2414.35 |
Total Drug Medicare PaymentAmount |
2330.79 |
Total Drug Medicare Standardized Payment Amount |
2330.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
7843 |
Number Of Medicare Beneficiaries With Medical Services |
696 |
Total Medical Submitted Charge Amount |
529261.4 |
Total Medical Medicare Allowed Amount |
404045.98 |
Total Medical Medicare Payment Amount |
322694.85 |
Total Medical Medicare Standardized Payment Amount |
288180.14 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
167 |
Number Of Beneficiaries Age 75 to 84 |
207 |
Number Of Beneficiaries Age Greater 84 |
231 |
Number Of Female Beneficiaries |
395 |
Number Of Male Beneficiaries |
301 |
Number Of Non Hispanic White Beneficiaries |
565 |
Number Of Black or African American Beneficiaries |
71 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
488 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
208 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
65 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.0444 |