Jorge M Davidenko

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NPI Number Detailed Information

Provider Information:

Name:	Jorge M Davidenko
Gender:	M
Provider License Number If Given:	196572

NPI Information:

NPI:	1215923990
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	9/27/2005
Last Update Date:	3/8/2021
Reputation Report:

Provider Business Mailing Address:

Address:	134 HOMER AVE PO BOX 628 Cortland, NY 13045
Phone Number:	6077563561
Fax Number:	6074285142

Provider Business Practice Location Address:

Address:	134 HOMER AVE Cortland, NY 13045
Phone Number:	6077563561
Fax Number:	6074285142

Provider Taxonomy:

Primary:	207UN0901X
Secondary (if any):	207RC0000X
State:	NY

Top Doctors in NY

About Jorge M Davidenko

Jorge M Davidenko ( JORGE M DAVIDENKO ) is A Nuclear Medicine Physician in Cortland, NY. The NPI Number for Jorge M Davidenko is 1215923990.

The current location address for Jorge M Davidenko is 134 HOMER AVE Cortland, NY 13045 and the contact number is 6077563561 and fax number is 6074285142. The mailing address for Jorge M Davidenko is 134 HOMER AVE PO BOX 628 Cortland, NY 13045- 6077563561 (mailing address contact number - 6077563561).

A nuclear medicine physician who specializes in nuclear cardiology.

Provider Business Location on Map

FAQs:

What is the NPI Number for Jorge M Davidenko ?

Answer: The NPI Number for Jorge M Davidenko is 1215923990

Where is Jorge M Davidenko located?

Answer: Jorge M Davidenko is located at 134 HOMER AVE Cortland, NY 13045.

What is the specialty for Jorge M Davidenko ?

Answer: The Specialty of Jorge M Davidenko is A Nuclear Medicine Physician.

Are there any online reviews for Jorge M Davidenko ?

Answer: Yes! Check It Now.

Are there any other health care providers in Cortland, 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 Jorge M Davidenko

Number of HCPCS	49
Number of Medicare Beneficiaries	1107
Number of Services	2250
Total Submitted Charge Amount	488361
Total Medicare Allowed Amount	182986.1
Total Medicare Payment Amount	134209.52
Total Medicare Standardized Payment Amount	135157.2
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	49
Number of Medicare Beneficiaries With Medical	1107
Number of Medical Services	2250
Total Medical Submitted Charge Amount	488361
Total Medical Medicare Allowed Amount	182986.1
Total Medical Medicare Payment Amount	134209.52
Total Medical Medicare Standardized Payment Amount	135157.2
Average Age of Beneficiaries	76
Number of Beneficiaries Age Less 65	104
Number of Beneficiaries Age 65 to 74	402
Number of Beneficiaries Age 75 to 84	372
Number of Beneficiaries Age Greater 84	229
Number of Female Beneficiaries	579
Number of Male Beneficiaries	528
Number of Non-Hispanic White Beneficiaries	1051
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	32
Number of Beneficiaries With Medicare & Medicaid Entitlement	221
Number of Beneficiaries With Medicare Only Entitlement	886
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.31
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.14
Percent (%) of Beneficiaries Identified With Asthma	0.05
Percent (%) of Beneficiaries Identified With Cancer	0.11
Percent (%) of Beneficiaries Identified With Heart Failure	0.32
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.4
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.24
Percent (%) of Beneficiaries Identified With Depression	0.23
Percent (%) of Beneficiaries Identified With Diabetes	0.35
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.75
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.51
Percent (%) of Beneficiaries Identified With Osteoporosis	0.07
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.41
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.01
Percent (%) of Beneficiaries Identified With Stroke	0.06
Average HCC Risk Score of Beneficiaries	1.53

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	Cardiology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	4107
Number of Standardized 30-Day Fills	9325.9333333
Aggregate Cost Paid for All Claims	769871.4
Number of Day's Supply for All Claims	277368
Number of Medicare Beneficiaries	900
Number of Claims, Including Refills, for Beneficiaries Age 65+	3637
Including Refills, for Beneficiaries Age 65+	8374.3
Beneficiaries Age 65+	589630.26
Number of Day's Supply for All Claims for Beneficaries Age 65+	249454
Number of Medicare Beneficiaries Age 65+	814
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs	805
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	3302
Aggregate Cost Paid for Generic Drugs	154929.37
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	1964
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	328655.79
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	2143
Aggregate Cost Paid for Claims Filled by	441215.61
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	1439
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	379935.85
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	2668
by Low-Income Subsidy	389935.55
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	12
Aggregate Cost Paid for Antibiotic Drugs	75.01
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	75.711111111
Number of Beneficiaries Age Less Than 65	86
Number of Beneficiaries Age 65 to 74	318
Number of Beneficiaries Age 75 to 84	331
Number of Female Beneficiaries	457
Number of Male Beneficiaries	443
Number of Non-Hispanic White	843
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries	11
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not	35
Only Entitlement	635
Average Hierarchical Condition Category	1.618691034

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