National Provider Identifier [NPI]: |
1396740775 |
Last Name Of The Provider |
SLAYMAKER |
First Name Of The Provider |
ELIZABETH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 W VIEW PARK DR |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
PITTSBURGH |
Zip Code Of The Provider |
152291785 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
665 |
Number Of Medicare Beneficiaries |
162 |
Total Submitted Charge Amount |
86067 |
Total Medicare Allowed Amount |
36748.41 |
Total Medicare Payment Amount |
26013.82 |
Total Medicare Standardized Payment Amount |
27094.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
119 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
5731 |
Total Drug Medicare AllowedAmount |
2672.86 |
Total Drug Medicare PaymentAmount |
2590.1 |
Total Drug Medicare Standardized Payment Amount |
2590.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
546 |
Number Of Medicare Beneficiaries With Medical Services |
162 |
Total Medical Submitted Charge Amount |
80336 |
Total Medical Medicare Allowed Amount |
34075.55 |
Total Medical Medicare Payment Amount |
23423.72 |
Total Medical Medicare Standardized Payment Amount |
24504.85 |
Average Age Of Beneficiaries |
58 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
32 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
93 |
Number Of Male Beneficiaries |
69 |
Number Of Non Hispanic White Beneficiaries |
141 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
42 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
120 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
12 |
Percent Of With Diabetes |
10 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
33 |
Percent Of With Ischemic Heart Disease |
10 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
14 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.997 |