National Provider Identifier [NPI]: |
1518922574 |
Last Name Of The Provider |
HORN |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
230 BEISER BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
DOVER |
Zip Code Of The Provider |
199047793 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
2494 |
Number Of Medicare Beneficiaries |
689 |
Total Submitted Charge Amount |
209599.8 |
Total Medicare Allowed Amount |
174310.75 |
Total Medicare Payment Amount |
118671 |
Total Medicare Standardized Payment Amount |
119058.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
255 |
Number Of Medicare Beneficiaries With Drug Services |
215 |
Total Drug Submitted ChargeAmount |
11676.8 |
Total Drug Medicare AllowedAmount |
8147.45 |
Total Drug Medicare PaymentAmount |
7858.74 |
Total Drug Medicare Standardized Payment Amount |
7858.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
2239 |
Number Of Medicare Beneficiaries With Medical Services |
689 |
Total Medical Submitted Charge Amount |
197923 |
Total Medical Medicare Allowed Amount |
166163.3 |
Total Medical Medicare Payment Amount |
110812.26 |
Total Medical Medicare Standardized Payment Amount |
111199.76 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
149 |
Number Of Beneficiaries Age 65 to 74 |
335 |
Number Of Beneficiaries Age 75 to 84 |
176 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
396 |
Number Of Male Beneficiaries |
293 |
Number Of Non Hispanic White Beneficiaries |
572 |
Number Of Black or African American Beneficiaries |
80 |
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 |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
535 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
154 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0596 |