National Provider Identifier [NPI]: |
1518940071 |
Last Name Of The Provider |
WEST |
First Name Of The Provider |
STEVEN |
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 |
HSC LEVEL 4 RM 120 |
Street Address 2 Of The Provider |
|
City Of The Provider |
STONY BROOK |
Zip Code Of The Provider |
117940001 |
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 |
160 |
Number Of Services |
6482 |
Number Of Medicare Beneficiaries |
3826 |
Total Submitted Charge Amount |
1297243 |
Total Medicare Allowed Amount |
237815.96 |
Total Medicare Payment Amount |
179551.84 |
Total Medicare Standardized Payment Amount |
163961.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
160 |
Number Of Medical Services |
6482 |
Number Of Medicare Beneficiaries With Medical Services |
3826 |
Total Medical Submitted Charge Amount |
1297243 |
Total Medical Medicare Allowed Amount |
237815.96 |
Total Medical Medicare Payment Amount |
179551.84 |
Total Medical Medicare Standardized Payment Amount |
163961.27 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
643 |
Number Of Beneficiaries Age 65 to 74 |
1167 |
Number Of Beneficiaries Age 75 to 84 |
1185 |
Number Of Beneficiaries Age Greater 84 |
831 |
Number Of Female Beneficiaries |
2093 |
Number Of Male Beneficiaries |
1733 |
Number Of Non Hispanic White Beneficiaries |
3393 |
Number Of Black or African American Beneficiaries |
185 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
155 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
53 |
Number Of Beneficiaries With Medicare Only Entitlement |
2766 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1060 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
1.9652 |