National Provider Identifier [NPI]: |
1710912431 |
Last Name Of The Provider |
GRUBER |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 W MAIN ST |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
BABYLON |
Zip Code Of The Provider |
117023027 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
238969 |
Number Of Medicare Beneficiaries |
1380 |
Total Submitted Charge Amount |
10167910 |
Total Medicare Allowed Amount |
3417437.47 |
Total Medicare Payment Amount |
2642836.22 |
Total Medicare Standardized Payment Amount |
2560295.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
25 |
Number Of Drug Services |
231257 |
Number Of Medicare Beneficiaries With Drug Services |
848 |
Total Drug Submitted ChargeAmount |
8134970 |
Total Drug Medicare AllowedAmount |
2685871.71 |
Total Drug Medicare PaymentAmount |
2080139.99 |
Total Drug Medicare Standardized Payment Amount |
2080139.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
7712 |
Number Of Medicare Beneficiaries With Medical Services |
1380 |
Total Medical Submitted Charge Amount |
2032940 |
Total Medical Medicare Allowed Amount |
731565.76 |
Total Medical Medicare Payment Amount |
562696.23 |
Total Medical Medicare Standardized Payment Amount |
480155.37 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
158 |
Number Of Beneficiaries Age 65 to 74 |
649 |
Number Of Beneficiaries Age 75 to 84 |
442 |
Number Of Beneficiaries Age Greater 84 |
131 |
Number Of Female Beneficiaries |
1131 |
Number Of Male Beneficiaries |
249 |
Number Of Non Hispanic White Beneficiaries |
1247 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
1245 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
135 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
55 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2035 |