National Provider Identifier [NPI]: |
1023102142 |
Last Name Of The Provider |
FLASHNER |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
148 MERRICK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
AMITYVILLE |
Zip Code Of The Provider |
117013439 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
1651 |
Number Of Medicare Beneficiaries |
934 |
Total Submitted Charge Amount |
340201 |
Total Medicare Allowed Amount |
167798.32 |
Total Medicare Payment Amount |
115848.01 |
Total Medicare Standardized Payment Amount |
103708.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
34 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
1199.5 |
Total Drug Medicare AllowedAmount |
469.99 |
Total Drug Medicare PaymentAmount |
351.66 |
Total Drug Medicare Standardized Payment Amount |
351.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
1617 |
Number Of Medicare Beneficiaries With Medical Services |
934 |
Total Medical Submitted Charge Amount |
339001.5 |
Total Medical Medicare Allowed Amount |
167328.33 |
Total Medical Medicare Payment Amount |
115496.35 |
Total Medical Medicare Standardized Payment Amount |
103356.39 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
209 |
Number Of Beneficiaries Age 65 to 74 |
394 |
Number Of Beneficiaries Age 75 to 84 |
210 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
566 |
Number Of Male Beneficiaries |
368 |
Number Of Non Hispanic White Beneficiaries |
806 |
Number Of Black or African American Beneficiaries |
71 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
737 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
197 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.107 |