National Provider Identifier [NPI]: |
1245208958 |
Last Name Of The Provider |
SNYDER |
First Name Of The Provider |
ALLAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
57 ST RD |
Street Address 2 Of The Provider |
SUITE G |
City Of The Provider |
SOUTH HAMPTON |
Zip Code Of The Provider |
18966 |
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 |
25 |
Number Of Services |
4289 |
Number Of Medicare Beneficiaries |
270 |
Total Submitted Charge Amount |
416716.5 |
Total Medicare Allowed Amount |
317857.34 |
Total Medicare Payment Amount |
247495.31 |
Total Medicare Standardized Payment Amount |
220541.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
17 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
595 |
Total Drug Medicare AllowedAmount |
204.68 |
Total Drug Medicare PaymentAmount |
200.6 |
Total Drug Medicare Standardized Payment Amount |
200.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
4272 |
Number Of Medicare Beneficiaries With Medical Services |
270 |
Total Medical Submitted Charge Amount |
416121.5 |
Total Medical Medicare Allowed Amount |
317652.66 |
Total Medical Medicare Payment Amount |
247294.71 |
Total Medical Medicare Standardized Payment Amount |
220340.93 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
105 |
Number Of Beneficiaries Age 75 to 84 |
56 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
125 |
Number Of Male Beneficiaries |
145 |
Number Of Non Hispanic White Beneficiaries |
216 |
Number Of Black or African American Beneficiaries |
39 |
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 |
148 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
122 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
41 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
61 |
Percent Of With Chronic Kidney Disease |
62 |
Percent Of With Chronic Obstructive Pulmonary Disease |
49 |
Percent Of With Depression |
54 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
3.2168 |