National Provider Identifier [NPI]: |
1861650772 |
Last Name Of The Provider |
WENGER |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
217 HARRISBURG AVE |
Street Address 2 Of The Provider |
THE HEART GROUP OF LGHEALTH |
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
176032964 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Critical Care (Intensivists) |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
2924 |
Number Of Medicare Beneficiaries |
1685 |
Total Submitted Charge Amount |
580268 |
Total Medicare Allowed Amount |
251441.48 |
Total Medicare Payment Amount |
193002.73 |
Total Medicare Standardized Payment Amount |
203245.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
12 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
312 |
Total Drug Medicare AllowedAmount |
184.8 |
Total Drug Medicare PaymentAmount |
181.08 |
Total Drug Medicare Standardized Payment Amount |
181.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
2912 |
Number Of Medicare Beneficiaries With Medical Services |
1685 |
Total Medical Submitted Charge Amount |
579956 |
Total Medical Medicare Allowed Amount |
251256.68 |
Total Medical Medicare Payment Amount |
192821.65 |
Total Medical Medicare Standardized Payment Amount |
203064.32 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
184 |
Number Of Beneficiaries Age 65 to 74 |
471 |
Number Of Beneficiaries Age 75 to 84 |
584 |
Number Of Beneficiaries Age Greater 84 |
446 |
Number Of Female Beneficiaries |
814 |
Number Of Male Beneficiaries |
871 |
Number Of Non Hispanic White Beneficiaries |
1535 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
80 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1467 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
218 |
Percent Of With Atrial Fibrillation |
40 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7383 |