National Provider Identifier [NPI]: |
1700872231 |
Last Name Of The Provider |
SUNDLOF |
First Name Of The Provider |
DEBORAH |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2649 SCHOENERSVILLE RD |
Street Address 2 Of The Provider |
STE 301 |
City Of The Provider |
BETHLEHEM |
Zip Code Of The Provider |
180177326 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
4146 |
Number Of Medicare Beneficiaries |
2131 |
Total Submitted Charge Amount |
454655 |
Total Medicare Allowed Amount |
220090.44 |
Total Medicare Payment Amount |
167126.2 |
Total Medicare Standardized Payment Amount |
172620.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
4146 |
Number Of Medicare Beneficiaries With Medical Services |
2131 |
Total Medical Submitted Charge Amount |
454655 |
Total Medical Medicare Allowed Amount |
220090.44 |
Total Medical Medicare Payment Amount |
167126.2 |
Total Medical Medicare Standardized Payment Amount |
172620.5 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
303 |
Number Of Beneficiaries Age 65 to 74 |
707 |
Number Of Beneficiaries Age 75 to 84 |
680 |
Number Of Beneficiaries Age Greater 84 |
441 |
Number Of Female Beneficiaries |
1214 |
Number Of Male Beneficiaries |
917 |
Number Of Non Hispanic White Beneficiaries |
1947 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
102 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1782 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
349 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8019 |