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Dr. Ivan Antonevich

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NPI Number Detailed Information

Provider Information:

Name: Dr. Ivan Antonevich
Gender: M
Provider License Number If Given: 229252

NPI Information:

NPI: 1043256118
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/20/2006

Last Update Date: 7/25/2016

Reputation Report:

Provider Business Mailing Address:

Address: 1729 BURRSTONE RD
New Hartford, NY 13413
Phone Number: 3157981567
Fax Number: 3157981565

Provider Business Practice Location Address:

Address: 1729 BURRSTONE RD
New Hartford, NY 13413
Phone Number: 3157981567
Fax Number: 3157981565

Provider Taxonomy:

Primary: 208VP0014X
Secondary (if any):
State: NY

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About Dr. Ivan Antonevich

Dr. Ivan Antonevich (DR. IVAN ANTONEVICH ) is Interventional Pain Medicine Physician in New Hartford, NY. The NPI Number for Dr. Ivan Antonevich is 1043256118.
The current location address for Dr. Ivan Antonevich is 1729 BURRSTONE RD New Hartford, NY 13413 and the contact number is 3157981567 and fax number is 3157981565. The mailing address for Dr. Ivan Antonevich is 1729 BURRSTONE RD New Hartford, NY 13413- 3157981567 (mailing address contact number - 3157981567).
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Ivan Antonevich ?


Answer: The NPI Number for Dr. Ivan Antonevich is 1043256118

Where is Dr. Ivan Antonevich located?


Answer: Dr. Ivan Antonevich is located at 1729 BURRSTONE RD New Hartford, NY 13413.

What is the specialty for Dr. Ivan Antonevich ?


Answer: The Specialty of Dr. Ivan Antonevich is Interventional Pain Medicine Physician.

Are there any online reviews for Dr. Ivan Antonevich ?


Answer: Yes! Check It Now.

Are there any other health care providers in New Hartford, NY?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Ivan Antonevich

Number of HCPCS 49
Number of Medicare Beneficiaries 282
Number of Services 2693
Total Submitted Charge Amount 599168.07
Total Medicare Allowed Amount 240422.3
Total Medicare Payment Amount 188505.46
Total Medicare Standardized Payment Amount 191101.63
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 8
Number of Medicare Beneficiaries With Drug Services 236
Number of Drug Services 1281
Total Drug Submitted Charge Amount 45402.07
Total Drug Medicare Allowed Amount 12236.17
Total Drug Medicare Payment Amount 9763.5
Total Drug Medicare Standardized Payment Amount 10670.66
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 41
Number of Medicare Beneficiaries With Medical 282
Number of Medical Services 1412
Total Medical Submitted Charge Amount 553766
Total Medical Medicare Allowed Amount 228186.13
Total Medical Medicare Payment Amount 178741.96
Total Medical Medicare Standardized Payment Amount 180430.97
Average Age of Beneficiaries 70
Number of Beneficiaries Age Less 65 70
Number of Beneficiaries Age 65 to 74 104
Number of Beneficiaries Age 75 to 84 74
Number of Beneficiaries Age Greater 84 34
Number of Female Beneficiaries 175
Number of Male Beneficiaries 107
Number of Non-Hispanic White Beneficiaries 247
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified 11
Number of Beneficiaries With Medicare & Medicaid Entitlement 89
Number of Beneficiaries With Medicare Only Entitlement 193
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.09
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.06
Percent (%) of Beneficiaries Identified With Asthma 0.1
Percent (%) of Beneficiaries Identified With Cancer 0.05
Percent (%) of Beneficiaries Identified With Heart Failure 0.13
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.28
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.17
Percent (%) of Beneficiaries Identified With Depression 0.22
Percent (%) of Beneficiaries Identified With Diabetes 0.31
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.66
Percent (%) of Beneficiaries Identified With Hypertension 0.7
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.32
Percent (%) of Beneficiaries Identified With Osteoporosis 0.1
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.68
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.06
Average HCC Risk Score of Beneficiaries 1.21

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Pain Management
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 17
Number of Standardized 30-Day Fills 17
Aggregate Cost Paid for All Claims 377.62
Number of Day's Supply for All Claims 349
Number of Medicare Beneficiaries 13
Number of Claims, Including Refills, for Beneficiaries Age 65+
Including Refills, for Beneficiaries Age 65+
Beneficiaries Age 65+
Number of Day's Supply for All Claims for Beneficaries Age 65+
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 0
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 17
Aggregate Cost Paid for Generic Drugs 377.62
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst *
Number of Claims for Beneficiaries Covered by MAPD Plans
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst *
Number of Claims for Beneficiaries Covered by Standalone PDP Plans
Aggregate Cost Paid for Claims Filled by
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst #
Number of Claims for Beneficiaries Covered by Low-Income Subsidy
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst *
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy
by Low-Income Subsidy
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst *
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 64.461538462
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries
Number of Male Beneficiaries
Number of Non-Hispanic White
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 1.3803846154

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