National Provider Identifier [NPI]: |
1245213933 |
Last Name Of The Provider |
DIEHL |
First Name Of The Provider |
KRISTINE |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2700 SILVERSIDE RD |
Street Address 2 Of The Provider |
STE 2 |
City Of The Provider |
WILMINGTON |
Zip Code Of The Provider |
198103719 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
2016 |
Number Of Medicare Beneficiaries |
369 |
Total Submitted Charge Amount |
149178.3 |
Total Medicare Allowed Amount |
147407.3 |
Total Medicare Payment Amount |
99785.14 |
Total Medicare Standardized Payment Amount |
98677.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
207 |
Number Of Medicare Beneficiaries With Drug Services |
97 |
Total Drug Submitted ChargeAmount |
3833.09 |
Total Drug Medicare AllowedAmount |
3727.39 |
Total Drug Medicare PaymentAmount |
3287.87 |
Total Drug Medicare Standardized Payment Amount |
3287.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1809 |
Number Of Medicare Beneficiaries With Medical Services |
369 |
Total Medical Submitted Charge Amount |
145345.21 |
Total Medical Medicare Allowed Amount |
143679.91 |
Total Medical Medicare Payment Amount |
96497.27 |
Total Medical Medicare Standardized Payment Amount |
95390.05 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
199 |
Number Of Beneficiaries Age 75 to 84 |
99 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
302 |
Number Of Male Beneficiaries |
67 |
Number Of Non Hispanic White Beneficiaries |
334 |
Number Of Black or African American Beneficiaries |
23 |
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 |
7 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
0.7806 |