National Provider Identifier [NPI]: |
1053386409 |
Last Name Of The Provider |
GIESSWEIN |
First Name Of The Provider |
PETER |
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 |
5 BROOKWOOD AVE |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
CARLISLE |
Zip Code Of The Provider |
170139126 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Plastic and Reconstructive Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
136 |
Number Of Services |
3278 |
Number Of Medicare Beneficiaries |
1016 |
Total Submitted Charge Amount |
1089906 |
Total Medicare Allowed Amount |
671706.66 |
Total Medicare Payment Amount |
506025.19 |
Total Medicare Standardized Payment Amount |
514416.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
188 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
55765 |
Total Drug Medicare AllowedAmount |
45807.1 |
Total Drug Medicare PaymentAmount |
34407.39 |
Total Drug Medicare Standardized Payment Amount |
34407.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
135 |
Number Of Medical Services |
3090 |
Number Of Medicare Beneficiaries With Medical Services |
1016 |
Total Medical Submitted Charge Amount |
1034141 |
Total Medical Medicare Allowed Amount |
625899.56 |
Total Medical Medicare Payment Amount |
471617.8 |
Total Medical Medicare Standardized Payment Amount |
480008.74 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
381 |
Number Of Beneficiaries Age 75 to 84 |
388 |
Number Of Beneficiaries Age Greater 84 |
221 |
Number Of Female Beneficiaries |
530 |
Number Of Male Beneficiaries |
486 |
Number Of Non Hispanic White Beneficiaries |
992 |
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 |
970 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0472 |