National Provider Identifier [NPI]: |
1346230158 |
Last Name Of The Provider |
EHGARTNER |
First Name Of The Provider |
GREG |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
890 POPLAR CHURCH RD |
Street Address 2 Of The Provider |
SUITE 508 |
City Of The Provider |
CAMP HILL |
Zip Code Of The Provider |
170112250 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
5033 |
Number Of Medicare Beneficiaries |
556 |
Total Submitted Charge Amount |
252090 |
Total Medicare Allowed Amount |
173856.25 |
Total Medicare Payment Amount |
128176.62 |
Total Medicare Standardized Payment Amount |
132937.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
244 |
Number Of Medicare Beneficiaries With Drug Services |
214 |
Total Drug Submitted ChargeAmount |
5653 |
Total Drug Medicare AllowedAmount |
4473.06 |
Total Drug Medicare PaymentAmount |
4357.57 |
Total Drug Medicare Standardized Payment Amount |
4357.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
4789 |
Number Of Medicare Beneficiaries With Medical Services |
555 |
Total Medical Submitted Charge Amount |
246437 |
Total Medical Medicare Allowed Amount |
169383.19 |
Total Medical Medicare Payment Amount |
123819.05 |
Total Medical Medicare Standardized Payment Amount |
128579.74 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
212 |
Number Of Beneficiaries Age 75 to 84 |
183 |
Number Of Beneficiaries Age Greater 84 |
148 |
Number Of Female Beneficiaries |
336 |
Number Of Male Beneficiaries |
220 |
Number Of Non Hispanic White Beneficiaries |
509 |
Number Of Black or African American Beneficiaries |
33 |
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 |
514 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1952 |