National Provider Identifier [NPI]: |
1730105503 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1789 S BRADDOCK AVE |
Street Address 2 Of The Provider |
SUITE 510 |
City Of The Provider |
PITTSBURGH |
Zip Code Of The Provider |
152181842 |
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 |
37 |
Number Of Services |
1067 |
Number Of Medicare Beneficiaries |
175 |
Total Submitted Charge Amount |
149352 |
Total Medicare Allowed Amount |
66811.14 |
Total Medicare Payment Amount |
47790.09 |
Total Medicare Standardized Payment Amount |
50329.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
44 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
1045 |
Total Drug Medicare AllowedAmount |
879.16 |
Total Drug Medicare PaymentAmount |
855.51 |
Total Drug Medicare Standardized Payment Amount |
855.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1023 |
Number Of Medicare Beneficiaries With Medical Services |
175 |
Total Medical Submitted Charge Amount |
148307 |
Total Medical Medicare Allowed Amount |
65931.98 |
Total Medical Medicare Payment Amount |
46934.58 |
Total Medical Medicare Standardized Payment Amount |
49474.13 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
70 |
Number Of Beneficiaries Age 75 to 84 |
43 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
91 |
Number Of Male Beneficiaries |
84 |
Number Of Non Hispanic White Beneficiaries |
135 |
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 |
110 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
|
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.662 |