National Provider Identifier [NPI]: |
1588627681 |
Last Name Of The Provider |
MALEH |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
410 FOULK RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
WILMINGTON |
Zip Code Of The Provider |
198033820 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
4201 |
Number Of Medicare Beneficiaries |
908 |
Total Submitted Charge Amount |
437204.08 |
Total Medicare Allowed Amount |
334676.76 |
Total Medicare Payment Amount |
261229.01 |
Total Medicare Standardized Payment Amount |
256803.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
568 |
Number Of Medicare Beneficiaries With Drug Services |
510 |
Total Drug Submitted ChargeAmount |
26218 |
Total Drug Medicare AllowedAmount |
11357.2 |
Total Drug Medicare PaymentAmount |
11128.53 |
Total Drug Medicare Standardized Payment Amount |
11128.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
3633 |
Number Of Medicare Beneficiaries With Medical Services |
905 |
Total Medical Submitted Charge Amount |
410986.08 |
Total Medical Medicare Allowed Amount |
323319.56 |
Total Medical Medicare Payment Amount |
250100.48 |
Total Medical Medicare Standardized Payment Amount |
245674.75 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
407 |
Number Of Beneficiaries Age 75 to 84 |
285 |
Number Of Beneficiaries Age Greater 84 |
182 |
Number Of Female Beneficiaries |
463 |
Number Of Male Beneficiaries |
445 |
Number Of Non Hispanic White Beneficiaries |
814 |
Number Of Black or African American Beneficiaries |
47 |
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 |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
879 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9703 |