National Provider Identifier [NPI]: |
1306852942 |
Last Name Of The Provider |
GULATI |
First Name Of The Provider |
VINOD |
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 |
333 BROADWAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
AMITYVILLE |
Zip Code Of The Provider |
117012719 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
10839 |
Number Of Medicare Beneficiaries |
761 |
Total Submitted Charge Amount |
1026070 |
Total Medicare Allowed Amount |
702029.06 |
Total Medicare Payment Amount |
530017.89 |
Total Medicare Standardized Payment Amount |
469009.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
4001 |
Number Of Medicare Beneficiaries With Drug Services |
221 |
Total Drug Submitted ChargeAmount |
67300 |
Total Drug Medicare AllowedAmount |
43005.18 |
Total Drug Medicare PaymentAmount |
34202.11 |
Total Drug Medicare Standardized Payment Amount |
34202.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
6838 |
Number Of Medicare Beneficiaries With Medical Services |
761 |
Total Medical Submitted Charge Amount |
958770 |
Total Medical Medicare Allowed Amount |
659023.88 |
Total Medical Medicare Payment Amount |
495815.78 |
Total Medical Medicare Standardized Payment Amount |
434807.72 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
179 |
Number Of Beneficiaries Age 75 to 84 |
254 |
Number Of Beneficiaries Age Greater 84 |
241 |
Number Of Female Beneficiaries |
481 |
Number Of Male Beneficiaries |
280 |
Number Of Non Hispanic White Beneficiaries |
575 |
Number Of Black or African American Beneficiaries |
113 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
459 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
302 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
50 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
31 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.9069 |