National Provider Identifier [NPI]: |
1316947740 |
Last Name Of The Provider |
GINSBURG |
First Name Of The Provider |
LEONARD |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 W SPROUL ROAD |
Street Address 2 Of The Provider |
HEALTHPLEX PAVILION II - SUITE 100 |
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
190642033 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
10833 |
Number Of Medicare Beneficiaries |
645 |
Total Submitted Charge Amount |
7064192.7 |
Total Medicare Allowed Amount |
2483813.26 |
Total Medicare Payment Amount |
1922992.2 |
Total Medicare Standardized Payment Amount |
1900630.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
5778 |
Number Of Medicare Beneficiaries With Drug Services |
209 |
Total Drug Submitted ChargeAmount |
3545558 |
Total Drug Medicare AllowedAmount |
1868007.96 |
Total Drug Medicare PaymentAmount |
1458680.38 |
Total Drug Medicare Standardized Payment Amount |
1458680.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
5055 |
Number Of Medicare Beneficiaries With Medical Services |
644 |
Total Medical Submitted Charge Amount |
3518634.7 |
Total Medical Medicare Allowed Amount |
615805.3 |
Total Medical Medicare Payment Amount |
464311.82 |
Total Medical Medicare Standardized Payment Amount |
441949.68 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
268 |
Number Of Beneficiaries Age 75 to 84 |
188 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
370 |
Number Of Male Beneficiaries |
275 |
Number Of Non Hispanic White Beneficiaries |
555 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
562 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4144 |