Medicare Facts for Dr. Terence J. Philbin, MD


National Provider Identifier [NPI]: 1649233784
Last Name Of The Provider PHILBIN
First Name Of The Provider TERENCE
Middle Initial Of The Provider J
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 92 BRADFORD AVE
Street Address 2 Of The Provider
City Of The Provider PITTSBURGH
Zip Code Of The Provider 152053150
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 44
Number Of Services 3217
Number Of Medicare Beneficiaries 531
Total Submitted Charge Amount 312629
Total Medicare Allowed Amount 193097.56
Total Medicare Payment Amount 141823.02
Total Medicare Standardized Payment Amount 147051.42
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 243
Number Of Medicare Beneficiaries With Drug Services 137
Total Drug Submitted ChargeAmount 6190
Total Drug Medicare AllowedAmount 3377.24
Total Drug Medicare PaymentAmount 3223.85
Total Drug Medicare Standardized Payment Amount 3223.85
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 39
Number Of Medical Services 2974
Number Of Medicare Beneficiaries With Medical Services 530
Total Medical Submitted Charge Amount 306439
Total Medical Medicare Allowed Amount 189720.32
Total Medical Medicare Payment Amount 138599.17
Total Medical Medicare Standardized Payment Amount 143827.57
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 75
Number Of Beneficiaries Age 65 to 74 134
Number Of Beneficiaries Age 75 to 84 135
Number Of Beneficiaries Age Greater 84 187
Number Of Female Beneficiaries 312
Number Of Male Beneficiaries 219
Number Of Non Hispanic White Beneficiaries 501
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 430
Number Of Beneficiaries With Medicare Medicaid Entitlement 101
Percent Of With Atrial Fibrillation 21
Percent Of With Alzheimers Disease or Dementia 26
Percent Of With Asthma 5
Percent Of With Cancer 13
Percent Of With Heart Failure 29
Percent Of With Chronic Kidney Disease 26
Percent Of With Chronic Obstructive Pulmonary Disease 22
Percent Of With Depression 24
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 41
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 42
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 50
Percent Of With Schizophrenia Other PsychoticDisorders 9
Percent Of With Stroke 11
Average HCC Risk Score Of Beneficiaries 1.6513

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