National Provider Identifier [NPI]: |
1972569911 |
Last Name Of The Provider |
ARMSTRONG |
First Name Of The Provider |
JACK |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
220 WILSON ST |
Street Address 2 Of The Provider |
SUITE 213 |
City Of The Provider |
CARLISLE |
Zip Code Of The Provider |
170133697 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
7296 |
Number Of Medicare Beneficiaries |
170 |
Total Submitted Charge Amount |
202778.1 |
Total Medicare Allowed Amount |
152670.39 |
Total Medicare Payment Amount |
116046.24 |
Total Medicare Standardized Payment Amount |
114944.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
3653 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
96414.1 |
Total Drug Medicare AllowedAmount |
93598.87 |
Total Drug Medicare PaymentAmount |
73150.64 |
Total Drug Medicare Standardized Payment Amount |
73150.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
3643 |
Number Of Medicare Beneficiaries With Medical Services |
170 |
Total Medical Submitted Charge Amount |
106364 |
Total Medical Medicare Allowed Amount |
59071.52 |
Total Medical Medicare Payment Amount |
42895.6 |
Total Medical Medicare Standardized Payment Amount |
41793.77 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
107 |
Number Of Beneficiaries Age 75 to 84 |
34 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
118 |
Number Of Male Beneficiaries |
52 |
Number Of Non Hispanic White Beneficiaries |
156 |
Number Of Black or African American Beneficiaries |
0 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
46 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7654 |