National Provider Identifier [NPI]: |
1669448015 |
Last Name Of The Provider |
WEINFELD |
First Name Of The Provider |
MIECZYSLAW |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6301 FORBES AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
PITTSBURGH |
Zip Code Of The Provider |
152171725 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
412 |
Number Of Medicare Beneficiaries |
83 |
Total Submitted Charge Amount |
55077 |
Total Medicare Allowed Amount |
25668.91 |
Total Medicare Payment Amount |
19699.59 |
Total Medicare Standardized Payment Amount |
20503.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
42 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
1656 |
Total Drug Medicare AllowedAmount |
1463.48 |
Total Drug Medicare PaymentAmount |
1434.2 |
Total Drug Medicare Standardized Payment Amount |
1434.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
370 |
Number Of Medicare Beneficiaries With Medical Services |
83 |
Total Medical Submitted Charge Amount |
53421 |
Total Medical Medicare Allowed Amount |
24205.43 |
Total Medical Medicare Payment Amount |
18265.39 |
Total Medical Medicare Standardized Payment Amount |
19069.13 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
32 |
Number Of Beneficiaries Age 75 to 84 |
15 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
50 |
Number Of Male Beneficiaries |
33 |
Number Of Non Hispanic White Beneficiaries |
65 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
41 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.6473 |