National Provider Identifier [NPI]: |
1285675009 |
Last Name Of The Provider |
VOLOKHONSKY |
First Name Of The Provider |
HELEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
342 W GERMANTOWN PIKE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
EAST NORRITON |
Zip Code Of The Provider |
194034260 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
346 |
Number Of Medicare Beneficiaries |
125 |
Total Submitted Charge Amount |
47104 |
Total Medicare Allowed Amount |
27986.31 |
Total Medicare Payment Amount |
19623.81 |
Total Medicare Standardized Payment Amount |
18903.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
33 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
1960 |
Total Drug Medicare AllowedAmount |
1128.73 |
Total Drug Medicare PaymentAmount |
1105.69 |
Total Drug Medicare Standardized Payment Amount |
1105.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
13 |
Number Of Medical Services |
313 |
Number Of Medicare Beneficiaries With Medical Services |
125 |
Total Medical Submitted Charge Amount |
45144 |
Total Medical Medicare Allowed Amount |
26857.58 |
Total Medical Medicare Payment Amount |
18518.12 |
Total Medical Medicare Standardized Payment Amount |
17797.58 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
49 |
Number Of Beneficiaries Age 75 to 84 |
20 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
85 |
Number Of Male Beneficiaries |
40 |
Number Of Non Hispanic White Beneficiaries |
89 |
Number Of Black or African American Beneficiaries |
16 |
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 |
73 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
14 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1453 |