National Provider Identifier [NPI]: |
1083610810 |
Last Name Of The Provider |
HARTMAN |
First Name Of The Provider |
STUART |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
341 CUMBERLAND ST |
Street Address 2 Of The Provider |
1ST FLOOR |
City Of The Provider |
LEBANON |
Zip Code Of The Provider |
170425547 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
7070 |
Number Of Medicare Beneficiaries |
851 |
Total Submitted Charge Amount |
752214 |
Total Medicare Allowed Amount |
530557.19 |
Total Medicare Payment Amount |
396346.53 |
Total Medicare Standardized Payment Amount |
408379.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
287 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
2897 |
Total Drug Medicare AllowedAmount |
1417.02 |
Total Drug Medicare PaymentAmount |
1026.7 |
Total Drug Medicare Standardized Payment Amount |
1026.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
6783 |
Number Of Medicare Beneficiaries With Medical Services |
851 |
Total Medical Submitted Charge Amount |
749317 |
Total Medical Medicare Allowed Amount |
529140.17 |
Total Medical Medicare Payment Amount |
395319.83 |
Total Medical Medicare Standardized Payment Amount |
407352.71 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
223 |
Number Of Beneficiaries Age 65 to 74 |
187 |
Number Of Beneficiaries Age 75 to 84 |
238 |
Number Of Beneficiaries Age Greater 84 |
203 |
Number Of Female Beneficiaries |
550 |
Number Of Male Beneficiaries |
301 |
Number Of Non Hispanic White Beneficiaries |
788 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
674 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
177 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.4547 |