National Provider Identifier [NPI]: |
1952562845 |
Last Name Of The Provider |
MERAJ |
First Name Of The Provider |
SEEMA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
150 SUNRISE HWY |
Street Address 2 Of The Provider |
ZWANGER PESIRI RADIOLOGY |
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 |
82 |
Number Of Services |
3162 |
Number Of Medicare Beneficiaries |
1351 |
Total Submitted Charge Amount |
529559.25 |
Total Medicare Allowed Amount |
138118.39 |
Total Medicare Payment Amount |
113262.7 |
Total Medicare Standardized Payment Amount |
96541.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1531 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
473.7 |
Total Drug Medicare AllowedAmount |
443.46 |
Total Drug Medicare PaymentAmount |
333.27 |
Total Drug Medicare Standardized Payment Amount |
333.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
1631 |
Number Of Medicare Beneficiaries With Medical Services |
1351 |
Total Medical Submitted Charge Amount |
529085.55 |
Total Medical Medicare Allowed Amount |
137674.93 |
Total Medical Medicare Payment Amount |
112929.43 |
Total Medical Medicare Standardized Payment Amount |
96208.38 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
185 |
Number Of Beneficiaries Age 65 to 74 |
633 |
Number Of Beneficiaries Age 75 to 84 |
408 |
Number Of Beneficiaries Age Greater 84 |
125 |
Number Of Female Beneficiaries |
960 |
Number Of Male Beneficiaries |
391 |
Number Of Non Hispanic White Beneficiaries |
1176 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
35 |
Number Of Hispanic Beneficiaries |
65 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
1170 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
181 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1552 |