National Provider Identifier [NPI]: |
1770745622 |
Last Name Of The Provider |
KESSEL |
First Name Of The Provider |
TAMAR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
180 FORT WASHINGTON AVE |
Street Address 2 Of The Provider |
COLUMBIA PRESBYTERIAN MEDICAL CENTER |
City Of The Provider |
NEW YORK |
Zip Code Of The Provider |
100323786 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
4952 |
Number Of Medicare Beneficiaries |
374 |
Total Submitted Charge Amount |
317398.93 |
Total Medicare Allowed Amount |
286276.3 |
Total Medicare Payment Amount |
218945.68 |
Total Medicare Standardized Payment Amount |
211861.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2013 |
Number Of Medicare Beneficiaries With Drug Services |
271 |
Total Drug Submitted ChargeAmount |
37874 |
Total Drug Medicare AllowedAmount |
37042.84 |
Total Drug Medicare PaymentAmount |
28903.18 |
Total Drug Medicare Standardized Payment Amount |
28903.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
2939 |
Number Of Medicare Beneficiaries With Medical Services |
374 |
Total Medical Submitted Charge Amount |
279524.93 |
Total Medical Medicare Allowed Amount |
249233.46 |
Total Medical Medicare Payment Amount |
190042.5 |
Total Medical Medicare Standardized Payment Amount |
182958.04 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
145 |
Number Of Beneficiaries Age 75 to 84 |
149 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
263 |
Number Of Male Beneficiaries |
111 |
Number Of Non Hispanic White Beneficiaries |
339 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
348 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9956 |