National Provider Identifier [NPI]: |
1356380109 |
Last Name Of The Provider |
REISINGER |
First Name Of The Provider |
GENE |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
14229 ROUTE 35 |
Street Address 2 Of The Provider |
|
City Of The Provider |
RICHFIELD |
Zip Code Of The Provider |
170868711 |
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 |
56 |
Number Of Services |
1002 |
Number Of Medicare Beneficiaries |
151 |
Total Submitted Charge Amount |
89541.16 |
Total Medicare Allowed Amount |
66642.39 |
Total Medicare Payment Amount |
50153.74 |
Total Medicare Standardized Payment Amount |
52064.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
108 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
3273 |
Total Drug Medicare AllowedAmount |
1008.22 |
Total Drug Medicare PaymentAmount |
961.5 |
Total Drug Medicare Standardized Payment Amount |
961.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
894 |
Number Of Medicare Beneficiaries With Medical Services |
151 |
Total Medical Submitted Charge Amount |
86268.16 |
Total Medical Medicare Allowed Amount |
65634.17 |
Total Medical Medicare Payment Amount |
49192.24 |
Total Medical Medicare Standardized Payment Amount |
51102.86 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
41 |
Number Of Beneficiaries Age 75 to 84 |
27 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
86 |
Number Of Male Beneficiaries |
65 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
83 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4178 |