National Provider Identifier [NPI]: |
1043217987 |
Last Name Of The Provider |
LEVITT |
First Name Of The Provider |
MARC |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
135 PARK BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MASSAPEQUA PARK |
Zip Code Of The Provider |
117623643 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
4700 |
Number Of Medicare Beneficiaries |
1002 |
Total Submitted Charge Amount |
456185.3 |
Total Medicare Allowed Amount |
401466.99 |
Total Medicare Payment Amount |
306063.94 |
Total Medicare Standardized Payment Amount |
271056.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
105 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
4382.82 |
Total Drug Medicare AllowedAmount |
2314.94 |
Total Drug Medicare PaymentAmount |
2266.89 |
Total Drug Medicare Standardized Payment Amount |
2266.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
4595 |
Number Of Medicare Beneficiaries With Medical Services |
1002 |
Total Medical Submitted Charge Amount |
451802.48 |
Total Medical Medicare Allowed Amount |
399152.05 |
Total Medical Medicare Payment Amount |
303797.05 |
Total Medical Medicare Standardized Payment Amount |
268789.4 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
257 |
Number Of Beneficiaries Age 75 to 84 |
306 |
Number Of Beneficiaries Age Greater 84 |
335 |
Number Of Female Beneficiaries |
593 |
Number Of Male Beneficiaries |
409 |
Number Of Non Hispanic White Beneficiaries |
888 |
Number Of Black or African American Beneficiaries |
61 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
709 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
293 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
43 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.1385 |