National Provider Identifier [NPI]: |
1235174483 |
Last Name Of The Provider |
BROD |
First Name Of The Provider |
ROY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2108 HARRISBURG PIKE |
Street Address 2 Of The Provider |
SUITE 310 |
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
176043200 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
25832 |
Number Of Medicare Beneficiaries |
1746 |
Total Submitted Charge Amount |
8904469.8 |
Total Medicare Allowed Amount |
5475406.46 |
Total Medicare Payment Amount |
4224624.87 |
Total Medicare Standardized Payment Amount |
4237210.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
14236 |
Number Of Medicare Beneficiaries With Drug Services |
867 |
Total Drug Submitted ChargeAmount |
4885554.8 |
Total Drug Medicare AllowedAmount |
4380544.47 |
Total Drug Medicare PaymentAmount |
3425997.03 |
Total Drug Medicare Standardized Payment Amount |
3425997.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
11596 |
Number Of Medicare Beneficiaries With Medical Services |
1746 |
Total Medical Submitted Charge Amount |
4018915 |
Total Medical Medicare Allowed Amount |
1094861.99 |
Total Medical Medicare Payment Amount |
798627.84 |
Total Medical Medicare Standardized Payment Amount |
811213.8 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
470 |
Number Of Beneficiaries Age 75 to 84 |
579 |
Number Of Beneficiaries Age Greater 84 |
598 |
Number Of Female Beneficiaries |
1076 |
Number Of Male Beneficiaries |
670 |
Number Of Non Hispanic White Beneficiaries |
1678 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1644 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3643 |