National Provider Identifier [NPI]: |
1003812413 |
Last Name Of The Provider |
MESHKOV |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2501 KUSER RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAMILTON |
Zip Code Of The Provider |
086913302 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
168 |
Number Of Services |
9388 |
Number Of Medicare Beneficiaries |
3183 |
Total Submitted Charge Amount |
1600005.11 |
Total Medicare Allowed Amount |
309008.22 |
Total Medicare Payment Amount |
250226.13 |
Total Medicare Standardized Payment Amount |
232429.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4464 |
Number Of Medicare Beneficiaries With Drug Services |
82 |
Total Drug Submitted ChargeAmount |
3057.11 |
Total Drug Medicare AllowedAmount |
2009.59 |
Total Drug Medicare PaymentAmount |
1575.58 |
Total Drug Medicare Standardized Payment Amount |
1575.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
165 |
Number Of Medical Services |
4924 |
Number Of Medicare Beneficiaries With Medical Services |
3183 |
Total Medical Submitted Charge Amount |
1596948 |
Total Medical Medicare Allowed Amount |
306998.63 |
Total Medical Medicare Payment Amount |
248650.55 |
Total Medical Medicare Standardized Payment Amount |
230853.47 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
386 |
Number Of Beneficiaries Age 65 to 74 |
1379 |
Number Of Beneficiaries Age 75 to 84 |
888 |
Number Of Beneficiaries Age Greater 84 |
530 |
Number Of Female Beneficiaries |
2126 |
Number Of Male Beneficiaries |
1057 |
Number Of Non Hispanic White Beneficiaries |
2678 |
Number Of Black or African American Beneficiaries |
242 |
Number Of AsianPacific Islander Beneficiaries |
116 |
Number Of Hispanic Beneficiaries |
98 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
49 |
Number Of Beneficiaries With Medicare Only Entitlement |
2676 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
507 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4698 |