National Provider Identifier [NPI]: |
1598742025 |
Last Name Of The Provider |
MYERS |
First Name Of The Provider |
LISA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
850 WALNUT BOTTOM RD |
Street Address 2 Of The Provider |
SUITE 305 |
City Of The Provider |
CARLISLE |
Zip Code Of The Provider |
170133632 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
1294 |
Number Of Medicare Beneficiaries |
248 |
Total Submitted Charge Amount |
111954 |
Total Medicare Allowed Amount |
71652.38 |
Total Medicare Payment Amount |
48330.3 |
Total Medicare Standardized Payment Amount |
50746.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
48 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
1456 |
Total Drug Medicare AllowedAmount |
1190.69 |
Total Drug Medicare PaymentAmount |
1149.55 |
Total Drug Medicare Standardized Payment Amount |
1149.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1246 |
Number Of Medicare Beneficiaries With Medical Services |
248 |
Total Medical Submitted Charge Amount |
110498 |
Total Medical Medicare Allowed Amount |
70461.69 |
Total Medical Medicare Payment Amount |
47180.75 |
Total Medical Medicare Standardized Payment Amount |
49596.69 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
101 |
Number Of Beneficiaries Age 75 to 84 |
81 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
177 |
Number Of Male Beneficiaries |
71 |
Number Of Non Hispanic White Beneficiaries |
230 |
Number Of Black or African American Beneficiaries |
|
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 |
216 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9681 |