National Provider Identifier [NPI]: |
1003868043 |
Last Name Of The Provider |
KOVEN |
First Name Of The Provider |
NORMAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
130 ALMSHOUSE RD |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
RICHBORO |
Zip Code Of The Provider |
189541100 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
4840 |
Number Of Medicare Beneficiaries |
259 |
Total Submitted Charge Amount |
113443.55 |
Total Medicare Allowed Amount |
96638.26 |
Total Medicare Payment Amount |
69566.93 |
Total Medicare Standardized Payment Amount |
67591.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
31 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
1130.55 |
Total Drug Medicare AllowedAmount |
934.26 |
Total Drug Medicare PaymentAmount |
915.48 |
Total Drug Medicare Standardized Payment Amount |
915.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
4809 |
Number Of Medicare Beneficiaries With Medical Services |
259 |
Total Medical Submitted Charge Amount |
112313 |
Total Medical Medicare Allowed Amount |
95704 |
Total Medical Medicare Payment Amount |
68651.45 |
Total Medical Medicare Standardized Payment Amount |
66675.59 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
176 |
Number Of Beneficiaries Age 75 to 84 |
55 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
185 |
Number Of Male Beneficiaries |
74 |
Number Of Non Hispanic White Beneficiaries |
238 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
42 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8102 |