National Provider Identifier [NPI]: |
1386770501 |
Last Name Of The Provider |
BETT |
First Name Of The Provider |
DOREEN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
D.O |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2112 HARRISBURG PIKE STE 312 |
Street Address 2 Of The Provider |
|
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
176012644 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
25789 |
Number Of Medicare Beneficiaries |
877 |
Total Submitted Charge Amount |
708591 |
Total Medicare Allowed Amount |
283918.14 |
Total Medicare Payment Amount |
210349.35 |
Total Medicare Standardized Payment Amount |
224515.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
22749 |
Number Of Medicare Beneficiaries With Drug Services |
106 |
Total Drug Submitted ChargeAmount |
94205 |
Total Drug Medicare AllowedAmount |
36939.14 |
Total Drug Medicare PaymentAmount |
28643.54 |
Total Drug Medicare Standardized Payment Amount |
28643.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
3040 |
Number Of Medicare Beneficiaries With Medical Services |
877 |
Total Medical Submitted Charge Amount |
614386 |
Total Medical Medicare Allowed Amount |
246979 |
Total Medical Medicare Payment Amount |
181705.81 |
Total Medical Medicare Standardized Payment Amount |
195871.84 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
158 |
Number Of Beneficiaries Age 65 to 74 |
214 |
Number Of Beneficiaries Age 75 to 84 |
308 |
Number Of Beneficiaries Age Greater 84 |
197 |
Number Of Female Beneficiaries |
442 |
Number Of Male Beneficiaries |
435 |
Number Of Non Hispanic White Beneficiaries |
754 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
720 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
157 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
3.5438 |