National Provider Identifier [NPI]: |
1346481769 |
Last Name Of The Provider |
ANGHELESCU |
First Name Of The Provider |
DAN |
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 |
1 GUSTAVE L LEVY PL |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW YORK |
Zip Code Of The Provider |
100296500 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
271 |
Number Of Services |
13379 |
Number Of Medicare Beneficiaries |
2572 |
Total Submitted Charge Amount |
1397604.67 |
Total Medicare Allowed Amount |
302006.59 |
Total Medicare Payment Amount |
228479.69 |
Total Medicare Standardized Payment Amount |
223460.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
8382 |
Number Of Medicare Beneficiaries With Drug Services |
90 |
Total Drug Submitted ChargeAmount |
9838.8 |
Total Drug Medicare AllowedAmount |
1698.85 |
Total Drug Medicare PaymentAmount |
1323.88 |
Total Drug Medicare Standardized Payment Amount |
1323.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
268 |
Number Of Medical Services |
4997 |
Number Of Medicare Beneficiaries With Medical Services |
2572 |
Total Medical Submitted Charge Amount |
1387765.87 |
Total Medical Medicare Allowed Amount |
300307.74 |
Total Medical Medicare Payment Amount |
227155.81 |
Total Medical Medicare Standardized Payment Amount |
222136.85 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
491 |
Number Of Beneficiaries Age 65 to 74 |
903 |
Number Of Beneficiaries Age 75 to 84 |
751 |
Number Of Beneficiaries Age Greater 84 |
427 |
Number Of Female Beneficiaries |
1405 |
Number Of Male Beneficiaries |
1167 |
Number Of Non Hispanic White Beneficiaries |
1132 |
Number Of Black or African American Beneficiaries |
61 |
Number Of AsianPacific Islander Beneficiaries |
143 |
Number Of Hispanic Beneficiaries |
1193 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1417 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1155 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9289 |