National Provider Identifier [NPI]: |
1437100559 |
Last Name Of The Provider |
HEIMAN-PATTERSON |
First Name Of The Provider |
TERRY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
219 N BROAD ST |
Street Address 2 Of The Provider |
7TH FLOOR |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191071519 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
16532 |
Number Of Medicare Beneficiaries |
441 |
Total Submitted Charge Amount |
1109324 |
Total Medicare Allowed Amount |
547125.79 |
Total Medicare Payment Amount |
416866.02 |
Total Medicare Standardized Payment Amount |
399322.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
12723 |
Number Of Medicare Beneficiaries With Drug Services |
127 |
Total Drug Submitted ChargeAmount |
699255 |
Total Drug Medicare AllowedAmount |
351223.06 |
Total Drug Medicare PaymentAmount |
274096.64 |
Total Drug Medicare Standardized Payment Amount |
274096.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
3809 |
Number Of Medicare Beneficiaries With Medical Services |
441 |
Total Medical Submitted Charge Amount |
410069 |
Total Medical Medicare Allowed Amount |
195902.73 |
Total Medical Medicare Payment Amount |
142769.38 |
Total Medical Medicare Standardized Payment Amount |
125225.97 |
Average Age Of Beneficiaries |
59 |
Number Of Beneficiaries Age Less65 |
267 |
Number Of Beneficiaries Age 65 to 74 |
109 |
Number Of Beneficiaries Age 75 to 84 |
43 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
256 |
Number Of Male Beneficiaries |
185 |
Number Of Non Hispanic White Beneficiaries |
352 |
Number Of Black or African American Beneficiaries |
50 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
309 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
132 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5392 |