National Provider Identifier [NPI]: |
1629028196 |
Last Name Of The Provider |
SBARRO |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2 HOT METAL ST |
Street Address 2 Of The Provider |
ERMI QUANTUM ONE |
City Of The Provider |
PITTSBURGH |
Zip Code Of The Provider |
152032348 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
1890 |
Number Of Medicare Beneficiaries |
1123 |
Total Submitted Charge Amount |
634461 |
Total Medicare Allowed Amount |
226720.98 |
Total Medicare Payment Amount |
171827.77 |
Total Medicare Standardized Payment Amount |
169187.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1890 |
Number Of Medicare Beneficiaries With Medical Services |
1123 |
Total Medical Submitted Charge Amount |
634461 |
Total Medical Medicare Allowed Amount |
226720.98 |
Total Medical Medicare Payment Amount |
171827.77 |
Total Medical Medicare Standardized Payment Amount |
169187.77 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
302 |
Number Of Beneficiaries Age 65 to 74 |
321 |
Number Of Beneficiaries Age 75 to 84 |
312 |
Number Of Beneficiaries Age Greater 84 |
188 |
Number Of Female Beneficiaries |
659 |
Number Of Male Beneficiaries |
464 |
Number Of Non Hispanic White Beneficiaries |
874 |
Number Of Black or African American Beneficiaries |
188 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
585 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
538 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9173 |