National Provider Identifier [NPI]: |
1942265020 |
Last Name Of The Provider |
REICH |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2301 HUNTINGDON PIKE |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
HUNTINGDON VALLEY |
Zip Code Of The Provider |
190066130 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
5647 |
Number Of Medicare Beneficiaries |
896 |
Total Submitted Charge Amount |
566882.8 |
Total Medicare Allowed Amount |
281528.19 |
Total Medicare Payment Amount |
206892.69 |
Total Medicare Standardized Payment Amount |
198973.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1982 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
148722.8 |
Total Drug Medicare AllowedAmount |
57366.28 |
Total Drug Medicare PaymentAmount |
44419.06 |
Total Drug Medicare Standardized Payment Amount |
44419.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
3665 |
Number Of Medicare Beneficiaries With Medical Services |
895 |
Total Medical Submitted Charge Amount |
418160 |
Total Medical Medicare Allowed Amount |
224161.91 |
Total Medical Medicare Payment Amount |
162473.63 |
Total Medical Medicare Standardized Payment Amount |
154553.99 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
367 |
Number Of Beneficiaries Age 75 to 84 |
306 |
Number Of Beneficiaries Age Greater 84 |
175 |
Number Of Female Beneficiaries |
267 |
Number Of Male Beneficiaries |
629 |
Number Of Non Hispanic White Beneficiaries |
800 |
Number Of Black or African American Beneficiaries |
67 |
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 |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
810 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.2776 |