National Provider Identifier [NPI]: |
1851305320 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 WOOLSTON DRIVE |
Street Address 2 Of The Provider |
SUITE 1E |
City Of The Provider |
MORRISVILLE |
Zip Code Of The Provider |
19067 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
3240 |
Number Of Medicare Beneficiaries |
231 |
Total Submitted Charge Amount |
313353 |
Total Medicare Allowed Amount |
233580.08 |
Total Medicare Payment Amount |
174969.71 |
Total Medicare Standardized Payment Amount |
165023.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
316 |
Number Of Medicare Beneficiaries With Drug Services |
117 |
Total Drug Submitted ChargeAmount |
11559 |
Total Drug Medicare AllowedAmount |
7027.03 |
Total Drug Medicare PaymentAmount |
6698.95 |
Total Drug Medicare Standardized Payment Amount |
6698.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
2924 |
Number Of Medicare Beneficiaries With Medical Services |
231 |
Total Medical Submitted Charge Amount |
301794 |
Total Medical Medicare Allowed Amount |
226553.05 |
Total Medical Medicare Payment Amount |
168270.76 |
Total Medical Medicare Standardized Payment Amount |
158324.22 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
37 |
Number Of Beneficiaries Age Greater 84 |
11 |
Number Of Female Beneficiaries |
125 |
Number Of Male Beneficiaries |
106 |
Number Of Non Hispanic White Beneficiaries |
171 |
Number Of Black or African American Beneficiaries |
44 |
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 |
199 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
49 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0231 |