National Provider Identifier [NPI]: |
1902820947 |
Last Name Of The Provider |
POLIZZI |
First Name Of The Provider |
FRANCESCO |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
327 BEACH 19TH ST |
Street Address 2 Of The Provider |
RADIOLOGY DEPARTMENT |
City Of The Provider |
FAR ROCKAWAY |
Zip Code Of The Provider |
116914423 |
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 |
97 |
Number Of Services |
4237 |
Number Of Medicare Beneficiaries |
1936 |
Total Submitted Charge Amount |
295030 |
Total Medicare Allowed Amount |
85647.54 |
Total Medicare Payment Amount |
66919.25 |
Total Medicare Standardized Payment Amount |
59806.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
4237 |
Number Of Medicare Beneficiaries With Medical Services |
1936 |
Total Medical Submitted Charge Amount |
295030 |
Total Medical Medicare Allowed Amount |
85647.54 |
Total Medical Medicare Payment Amount |
66919.25 |
Total Medical Medicare Standardized Payment Amount |
59806.61 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
439 |
Number Of Beneficiaries Age 65 to 74 |
631 |
Number Of Beneficiaries Age 75 to 84 |
538 |
Number Of Beneficiaries Age Greater 84 |
328 |
Number Of Female Beneficiaries |
1060 |
Number Of Male Beneficiaries |
876 |
Number Of Non Hispanic White Beneficiaries |
989 |
Number Of Black or African American Beneficiaries |
613 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
229 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
81 |
Number Of Beneficiaries With Medicare Only Entitlement |
367 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1569 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
48 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
67 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
32 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.5715 |