National Provider Identifier [NPI]: |
1154385565 |
Last Name Of The Provider |
WILHELM |
First Name Of The Provider |
BARBARA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4176 NATIONAL PIKE |
Street Address 2 Of The Provider |
SUITE #4 |
City Of The Provider |
FARMINGTON |
Zip Code Of The Provider |
154371392 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
2117 |
Number Of Medicare Beneficiaries |
326 |
Total Submitted Charge Amount |
187555 |
Total Medicare Allowed Amount |
163352.21 |
Total Medicare Payment Amount |
114156.85 |
Total Medicare Standardized Payment Amount |
117435.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
108 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
4020 |
Total Drug Medicare AllowedAmount |
2385.96 |
Total Drug Medicare PaymentAmount |
2331.93 |
Total Drug Medicare Standardized Payment Amount |
2331.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
2009 |
Number Of Medicare Beneficiaries With Medical Services |
325 |
Total Medical Submitted Charge Amount |
183535 |
Total Medical Medicare Allowed Amount |
160966.25 |
Total Medical Medicare Payment Amount |
111824.92 |
Total Medical Medicare Standardized Payment Amount |
115103.44 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
122 |
Number Of Beneficiaries Age 75 to 84 |
72 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
189 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
152 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
174 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
26 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4972 |