National Provider Identifier [NPI]: |
1114975737 |
Last Name Of The Provider |
SUMNER |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1250 S CEDAR CREST BLVD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
ALLENTOWN |
Zip Code Of The Provider |
181036224 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
2910 |
Number Of Medicare Beneficiaries |
1660 |
Total Submitted Charge Amount |
440825 |
Total Medicare Allowed Amount |
142251.66 |
Total Medicare Payment Amount |
106990.43 |
Total Medicare Standardized Payment Amount |
110236.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2910 |
Number Of Medicare Beneficiaries With Medical Services |
1660 |
Total Medical Submitted Charge Amount |
440825 |
Total Medical Medicare Allowed Amount |
142251.66 |
Total Medical Medicare Payment Amount |
106990.43 |
Total Medical Medicare Standardized Payment Amount |
110236.61 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
193 |
Number Of Beneficiaries Age 65 to 74 |
585 |
Number Of Beneficiaries Age 75 to 84 |
558 |
Number Of Beneficiaries Age Greater 84 |
324 |
Number Of Female Beneficiaries |
818 |
Number Of Male Beneficiaries |
842 |
Number Of Non Hispanic White Beneficiaries |
1531 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
72 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1422 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
238 |
Percent Of With Atrial Fibrillation |
39 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.7664 |