National Provider Identifier [NPI]: |
1730242397 |
Last Name Of The Provider |
PAPA |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3620 N DUPONT HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW CASTLE |
Zip Code Of The Provider |
197206316 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
1671 |
Number Of Medicare Beneficiaries |
336 |
Total Submitted Charge Amount |
359117 |
Total Medicare Allowed Amount |
152147.48 |
Total Medicare Payment Amount |
112642.29 |
Total Medicare Standardized Payment Amount |
110859.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
107 |
Number Of Medicare Beneficiaries With Drug Services |
73 |
Total Drug Submitted ChargeAmount |
6100 |
Total Drug Medicare AllowedAmount |
4065.44 |
Total Drug Medicare PaymentAmount |
3861.91 |
Total Drug Medicare Standardized Payment Amount |
3861.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
1564 |
Number Of Medicare Beneficiaries With Medical Services |
336 |
Total Medical Submitted Charge Amount |
353017 |
Total Medical Medicare Allowed Amount |
148082.04 |
Total Medical Medicare Payment Amount |
108780.38 |
Total Medical Medicare Standardized Payment Amount |
106997.66 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
114 |
Number Of Beneficiaries Age 65 to 74 |
139 |
Number Of Beneficiaries Age 75 to 84 |
72 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
185 |
Number Of Male Beneficiaries |
151 |
Number Of Non Hispanic White Beneficiaries |
243 |
Number Of Black or African American Beneficiaries |
82 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
249 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1771 |