National Provider Identifier [NPI]: |
1700826351 |
Last Name Of The Provider |
STREISFELD |
First Name Of The Provider |
NEIL |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
555 E CITY AVE |
Street Address 2 Of The Provider |
STE 930 |
City Of The Provider |
BALA CYNWYD |
Zip Code Of The Provider |
190041115 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
1948 |
Number Of Medicare Beneficiaries |
755 |
Total Submitted Charge Amount |
222065 |
Total Medicare Allowed Amount |
173698.35 |
Total Medicare Payment Amount |
129437.92 |
Total Medicare Standardized Payment Amount |
122861.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
23 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
480 |
Total Drug Medicare AllowedAmount |
243.68 |
Total Drug Medicare PaymentAmount |
225.12 |
Total Drug Medicare Standardized Payment Amount |
225.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
1925 |
Number Of Medicare Beneficiaries With Medical Services |
755 |
Total Medical Submitted Charge Amount |
221585 |
Total Medical Medicare Allowed Amount |
173454.67 |
Total Medical Medicare Payment Amount |
129212.8 |
Total Medical Medicare Standardized Payment Amount |
122635.96 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
184 |
Number Of Beneficiaries Age 65 to 74 |
325 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
60 |
Number Of Female Beneficiaries |
398 |
Number Of Male Beneficiaries |
357 |
Number Of Non Hispanic White Beneficiaries |
545 |
Number Of Black or African American Beneficiaries |
161 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
486 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
269 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.5636 |