National Provider Identifier [NPI]: |
1689655946 |
Last Name Of The Provider |
TALWAR |
First Name Of The Provider |
SONIA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
|
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1097 OLD COUNTRY RD |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
PLAINVIEW |
Zip Code Of The Provider |
118036505 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
5747 |
Number Of Medicare Beneficiaries |
509 |
Total Submitted Charge Amount |
611085 |
Total Medicare Allowed Amount |
330669.12 |
Total Medicare Payment Amount |
247631.22 |
Total Medicare Standardized Payment Amount |
219747.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3464 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
138555 |
Total Drug Medicare AllowedAmount |
56627.7 |
Total Drug Medicare PaymentAmount |
43714.83 |
Total Drug Medicare Standardized Payment Amount |
43714.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
2283 |
Number Of Medicare Beneficiaries With Medical Services |
509 |
Total Medical Submitted Charge Amount |
472530 |
Total Medical Medicare Allowed Amount |
274041.42 |
Total Medical Medicare Payment Amount |
203916.39 |
Total Medical Medicare Standardized Payment Amount |
176032.99 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
228 |
Number Of Beneficiaries Age 75 to 84 |
170 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
358 |
Number Of Male Beneficiaries |
151 |
Number Of Non Hispanic White Beneficiaries |
419 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
37 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
456 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
27 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3672 |