National Provider Identifier [NPI]: |
1467421321 |
Last Name Of The Provider |
TREMBLAY |
First Name Of The Provider |
GEOFFREY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1088 W BALTIMORE PIKE |
Street Address 2 Of The Provider |
SUITE 2500 RIDDLE HEALTH CARE CENTER II |
City Of The Provider |
MEDIA |
Zip Code Of The Provider |
190635146 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
5453 |
Number Of Medicare Beneficiaries |
2339 |
Total Submitted Charge Amount |
752675 |
Total Medicare Allowed Amount |
369690.59 |
Total Medicare Payment Amount |
283385.55 |
Total Medicare Standardized Payment Amount |
268275.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
5453 |
Number Of Medicare Beneficiaries With Medical Services |
2339 |
Total Medical Submitted Charge Amount |
752675 |
Total Medical Medicare Allowed Amount |
369690.59 |
Total Medical Medicare Payment Amount |
283385.55 |
Total Medical Medicare Standardized Payment Amount |
268275.71 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
175 |
Number Of Beneficiaries Age 65 to 74 |
807 |
Number Of Beneficiaries Age 75 to 84 |
726 |
Number Of Beneficiaries Age Greater 84 |
631 |
Number Of Female Beneficiaries |
1351 |
Number Of Male Beneficiaries |
988 |
Number Of Non Hispanic White Beneficiaries |
2135 |
Number Of Black or African American Beneficiaries |
149 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
2011 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
328 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
1.6629 |