National Provider Identifier [NPI]: |
1891796322 |
Last Name Of The Provider |
SIHELNIK |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1320 BROADCASTING RD |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
WYOMISSING |
Zip Code Of The Provider |
196103222 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
4357 |
Number Of Medicare Beneficiaries |
1008 |
Total Submitted Charge Amount |
1083549.5 |
Total Medicare Allowed Amount |
354585.09 |
Total Medicare Payment Amount |
263144.85 |
Total Medicare Standardized Payment Amount |
273084.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
319 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
210425 |
Total Drug Medicare AllowedAmount |
82492.4 |
Total Drug Medicare PaymentAmount |
62520.47 |
Total Drug Medicare Standardized Payment Amount |
62520.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
4038 |
Number Of Medicare Beneficiaries With Medical Services |
1008 |
Total Medical Submitted Charge Amount |
873124.5 |
Total Medical Medicare Allowed Amount |
272092.69 |
Total Medical Medicare Payment Amount |
200624.38 |
Total Medical Medicare Standardized Payment Amount |
210564.08 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
355 |
Number Of Beneficiaries Age 75 to 84 |
380 |
Number Of Beneficiaries Age Greater 84 |
214 |
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
744 |
Number Of Non Hispanic White Beneficiaries |
961 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
930 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3827 |