National Provider Identifier [NPI]: |
1467503300 |
Last Name Of The Provider |
GARB |
First Name Of The Provider |
DAREN |
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 |
2507 SOUTH ROAD |
Street Address 2 Of The Provider |
MOUNT KISCO MEDICAL GROUP PC |
City Of The Provider |
POUGHKEEPSIE |
Zip Code Of The Provider |
12601 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
2109 |
Number Of Medicare Beneficiaries |
160 |
Total Submitted Charge Amount |
89455.32 |
Total Medicare Allowed Amount |
78686.86 |
Total Medicare Payment Amount |
62215.29 |
Total Medicare Standardized Payment Amount |
60760.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
238 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
4990.73 |
Total Drug Medicare AllowedAmount |
4980.37 |
Total Drug Medicare PaymentAmount |
4632.36 |
Total Drug Medicare Standardized Payment Amount |
4632.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
1871 |
Number Of Medicare Beneficiaries With Medical Services |
160 |
Total Medical Submitted Charge Amount |
84464.59 |
Total Medical Medicare Allowed Amount |
73706.49 |
Total Medical Medicare Payment Amount |
57582.93 |
Total Medical Medicare Standardized Payment Amount |
56128.11 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
62 |
Number Of Beneficiaries Age 75 to 84 |
49 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
99 |
Number Of Male Beneficiaries |
61 |
Number Of Non Hispanic White Beneficiaries |
128 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
123 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
23 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9165 |