National Provider Identifier [NPI]: |
1922075530 |
Last Name Of The Provider |
FEICK |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 WESTAGE BUSINESS CTR DR |
Street Address 2 Of The Provider |
SUITE 280 |
City Of The Provider |
FISHKILL |
Zip Code Of The Provider |
125242260 |
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 |
101 |
Number Of Services |
2208 |
Number Of Medicare Beneficiaries |
1524 |
Total Submitted Charge Amount |
334135.55 |
Total Medicare Allowed Amount |
91513.61 |
Total Medicare Payment Amount |
71186.18 |
Total Medicare Standardized Payment Amount |
69885.05 |
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 |
101 |
Number Of Medical Services |
2208 |
Number Of Medicare Beneficiaries With Medical Services |
1524 |
Total Medical Submitted Charge Amount |
334135.55 |
Total Medical Medicare Allowed Amount |
91513.61 |
Total Medical Medicare Payment Amount |
71186.18 |
Total Medical Medicare Standardized Payment Amount |
69885.05 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
407 |
Number Of Beneficiaries Age 65 to 74 |
440 |
Number Of Beneficiaries Age 75 to 84 |
391 |
Number Of Beneficiaries Age Greater 84 |
286 |
Number Of Female Beneficiaries |
823 |
Number Of Male Beneficiaries |
701 |
Number Of Non Hispanic White Beneficiaries |
1147 |
Number Of Black or African American Beneficiaries |
266 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
75 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
953 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
571 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.3029 |