National Provider Identifier [NPI]: |
1609815125 |
Last Name Of The Provider |
MAHAN |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 FLORAL VALE BLVD |
Street Address 2 Of The Provider |
SUITE 125 |
City Of The Provider |
YARDLEY |
Zip Code Of The Provider |
190675569 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
2808 |
Number Of Medicare Beneficiaries |
1282 |
Total Submitted Charge Amount |
423762 |
Total Medicare Allowed Amount |
227963.66 |
Total Medicare Payment Amount |
170967.76 |
Total Medicare Standardized Payment Amount |
161767.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
11 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
584 |
Total Drug Medicare AllowedAmount |
311.94 |
Total Drug Medicare PaymentAmount |
305.69 |
Total Drug Medicare Standardized Payment Amount |
305.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2797 |
Number Of Medicare Beneficiaries With Medical Services |
1282 |
Total Medical Submitted Charge Amount |
423178 |
Total Medical Medicare Allowed Amount |
227651.72 |
Total Medical Medicare Payment Amount |
170662.07 |
Total Medical Medicare Standardized Payment Amount |
161461.41 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
217 |
Number Of Beneficiaries Age 65 to 74 |
529 |
Number Of Beneficiaries Age 75 to 84 |
299 |
Number Of Beneficiaries Age Greater 84 |
237 |
Number Of Female Beneficiaries |
659 |
Number Of Male Beneficiaries |
623 |
Number Of Non Hispanic White Beneficiaries |
1166 |
Number Of Black or African American Beneficiaries |
49 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
1014 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
268 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
52 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.972 |