National Provider Identifier [NPI]: |
1649276809 |
Last Name Of The Provider |
ESPER |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
120 E 2ND ST |
Street Address 2 Of The Provider |
THIRD FLOOR |
City Of The Provider |
ERIE |
Zip Code Of The Provider |
165071537 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
9972 |
Number Of Medicare Beneficiaries |
773 |
Total Submitted Charge Amount |
402855 |
Total Medicare Allowed Amount |
200310.34 |
Total Medicare Payment Amount |
149260.33 |
Total Medicare Standardized Payment Amount |
153056.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
8600 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
60200 |
Total Drug Medicare AllowedAmount |
47292.8 |
Total Drug Medicare PaymentAmount |
37077.53 |
Total Drug Medicare Standardized Payment Amount |
37077.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
1372 |
Number Of Medicare Beneficiaries With Medical Services |
773 |
Total Medical Submitted Charge Amount |
342655 |
Total Medical Medicare Allowed Amount |
153017.54 |
Total Medical Medicare Payment Amount |
112182.8 |
Total Medical Medicare Standardized Payment Amount |
115979.19 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
283 |
Number Of Beneficiaries Age 65 to 74 |
219 |
Number Of Beneficiaries Age 75 to 84 |
189 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
412 |
Number Of Male Beneficiaries |
361 |
Number Of Non Hispanic White Beneficiaries |
726 |
Number Of Black or African American Beneficiaries |
29 |
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 |
462 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
311 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
1.4846 |