National Provider Identifier [NPI]: |
1518182179 |
Last Name Of The Provider |
FRIENDY |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
PA-C, M.S. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3691 CRESCENT CT E |
Street Address 2 Of The Provider |
|
City Of The Provider |
WHITEHALL |
Zip Code Of The Provider |
180523498 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
469 |
Number Of Medicare Beneficiaries |
296 |
Total Submitted Charge Amount |
56585 |
Total Medicare Allowed Amount |
24145.2 |
Total Medicare Payment Amount |
15618.97 |
Total Medicare Standardized Payment Amount |
20095.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
25 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
360 |
Total Drug Medicare AllowedAmount |
133.31 |
Total Drug Medicare PaymentAmount |
114.58 |
Total Drug Medicare Standardized Payment Amount |
114.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
444 |
Number Of Medicare Beneficiaries With Medical Services |
296 |
Total Medical Submitted Charge Amount |
56225 |
Total Medical Medicare Allowed Amount |
24011.89 |
Total Medical Medicare Payment Amount |
15504.39 |
Total Medical Medicare Standardized Payment Amount |
19980.62 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
126 |
Number Of Beneficiaries Age 75 to 84 |
83 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
184 |
Number Of Male Beneficiaries |
112 |
Number Of Non Hispanic White Beneficiaries |
279 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
265 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0537 |