Medicare Facts for Dr. Stephen A. Sihelnik, MD


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

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