National Provider Identifier [NPI]: |
1447348115 |
Last Name Of The Provider |
HARRINGTON |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
363 ROUTE 111 |
Street Address 2 Of The Provider |
SUITE 107 |
City Of The Provider |
SMITHTOWN |
Zip Code Of The Provider |
11787 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
82 |
Number Of Services |
4584 |
Number Of Medicare Beneficiaries |
1031 |
Total Submitted Charge Amount |
1033051.46 |
Total Medicare Allowed Amount |
304674.86 |
Total Medicare Payment Amount |
223387.37 |
Total Medicare Standardized Payment Amount |
203631.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
900 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
99482.3 |
Total Drug Medicare AllowedAmount |
35222.91 |
Total Drug Medicare PaymentAmount |
27510.5 |
Total Drug Medicare Standardized Payment Amount |
27510.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
3684 |
Number Of Medicare Beneficiaries With Medical Services |
1031 |
Total Medical Submitted Charge Amount |
933569.16 |
Total Medical Medicare Allowed Amount |
269451.95 |
Total Medical Medicare Payment Amount |
195876.87 |
Total Medical Medicare Standardized Payment Amount |
176121.21 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
430 |
Number Of Beneficiaries Age 75 to 84 |
369 |
Number Of Beneficiaries Age Greater 84 |
163 |
Number Of Female Beneficiaries |
257 |
Number Of Male Beneficiaries |
774 |
Number Of Non Hispanic White Beneficiaries |
968 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
941 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
90 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4321 |