National Provider Identifier [NPI]: |
1740272434 |
Last Name Of The Provider |
POLLICE |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
250 CETRONIA ROAD |
Street Address 2 Of The Provider |
SUITE 303 |
City Of The Provider |
ALLENTOWN |
Zip Code Of The Provider |
181049168 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
7074 |
Number Of Medicare Beneficiaries |
1004 |
Total Submitted Charge Amount |
1667283 |
Total Medicare Allowed Amount |
552090.72 |
Total Medicare Payment Amount |
411806.95 |
Total Medicare Standardized Payment Amount |
424522 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2750 |
Number Of Medicare Beneficiaries With Drug Services |
313 |
Total Drug Submitted ChargeAmount |
73219 |
Total Drug Medicare AllowedAmount |
41408.33 |
Total Drug Medicare PaymentAmount |
32238.55 |
Total Drug Medicare Standardized Payment Amount |
32238.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
4324 |
Number Of Medicare Beneficiaries With Medical Services |
1004 |
Total Medical Submitted Charge Amount |
1594064 |
Total Medical Medicare Allowed Amount |
510682.39 |
Total Medical Medicare Payment Amount |
379568.4 |
Total Medical Medicare Standardized Payment Amount |
392283.45 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
505 |
Number Of Beneficiaries Age 75 to 84 |
354 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
615 |
Number Of Male Beneficiaries |
389 |
Number Of Non Hispanic White Beneficiaries |
962 |
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 |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
962 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0445 |