National Provider Identifier [NPI]: |
1962400853 |
Last Name Of The Provider |
FLEISCHER |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1320 BROADCASTING RD |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
WYOMISSING |
Zip Code Of The Provider |
196103222 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
6091 |
Number Of Medicare Beneficiaries |
1014 |
Total Submitted Charge Amount |
1218715.5 |
Total Medicare Allowed Amount |
454093.66 |
Total Medicare Payment Amount |
338126.93 |
Total Medicare Standardized Payment Amount |
351404.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
343 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
233130 |
Total Drug Medicare AllowedAmount |
113037.61 |
Total Drug Medicare PaymentAmount |
87145.31 |
Total Drug Medicare Standardized Payment Amount |
87145.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
5748 |
Number Of Medicare Beneficiaries With Medical Services |
1014 |
Total Medical Submitted Charge Amount |
985585.5 |
Total Medical Medicare Allowed Amount |
341056.05 |
Total Medical Medicare Payment Amount |
250981.62 |
Total Medical Medicare Standardized Payment Amount |
264259.42 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
334 |
Number Of Beneficiaries Age 75 to 84 |
382 |
Number Of Beneficiaries Age Greater 84 |
227 |
Number Of Female Beneficiaries |
181 |
Number Of Male Beneficiaries |
833 |
Number Of Non Hispanic White Beneficiaries |
943 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
934 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
80 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
31 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3854 |