National Provider Identifier [NPI]: |
1841290962 |
Last Name Of The Provider |
WASSERMAN |
First Name Of The Provider |
ADAM |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
524 S WASHINGTON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
GETTYSBURG |
Zip Code Of The Provider |
173252594 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
6151 |
Number Of Medicare Beneficiaries |
820 |
Total Submitted Charge Amount |
347663.56 |
Total Medicare Allowed Amount |
233480.09 |
Total Medicare Payment Amount |
176413.99 |
Total Medicare Standardized Payment Amount |
177881.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
277 |
Number Of Medicare Beneficiaries With Drug Services |
224 |
Total Drug Submitted ChargeAmount |
10078 |
Total Drug Medicare AllowedAmount |
8526.93 |
Total Drug Medicare PaymentAmount |
8222.13 |
Total Drug Medicare Standardized Payment Amount |
8222.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
115 |
Number Of Medical Services |
5874 |
Number Of Medicare Beneficiaries With Medical Services |
817 |
Total Medical Submitted Charge Amount |
337585.56 |
Total Medical Medicare Allowed Amount |
224953.16 |
Total Medical Medicare Payment Amount |
168191.86 |
Total Medical Medicare Standardized Payment Amount |
169659.41 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
265 |
Number Of Beneficiaries Age 75 to 84 |
292 |
Number Of Beneficiaries Age Greater 84 |
187 |
Number Of Female Beneficiaries |
475 |
Number Of Male Beneficiaries |
345 |
Number Of Non Hispanic White Beneficiaries |
797 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
682 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
138 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.501 |