National Provider Identifier [NPI]: |
1710204573 |
Last Name Of The Provider |
AGHELI |
First Name Of The Provider |
AREF |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
114 COLUMBIA ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CORNING |
Zip Code Of The Provider |
148302817 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
6808 |
Number Of Medicare Beneficiaries |
565 |
Total Submitted Charge Amount |
546368.96 |
Total Medicare Allowed Amount |
210562.05 |
Total Medicare Payment Amount |
160041.77 |
Total Medicare Standardized Payment Amount |
163189.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
40 |
Number Of Drug Services |
5226 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
267156 |
Total Drug Medicare AllowedAmount |
104290.47 |
Total Drug Medicare PaymentAmount |
81698.77 |
Total Drug Medicare Standardized Payment Amount |
81698.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
1582 |
Number Of Medicare Beneficiaries With Medical Services |
565 |
Total Medical Submitted Charge Amount |
279212.96 |
Total Medical Medicare Allowed Amount |
106271.58 |
Total Medical Medicare Payment Amount |
78343 |
Total Medical Medicare Standardized Payment Amount |
81490.61 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
209 |
Number Of Beneficiaries Age 75 to 84 |
193 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
339 |
Number Of Male Beneficiaries |
226 |
Number Of Non Hispanic White Beneficiaries |
546 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
434 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
52 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8685 |