National Provider Identifier [NPI]: |
1255323424 |
Last Name Of The Provider |
WINKELMAN |
First Name Of The Provider |
DENNIS |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
901 W ASHLAND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GLENOLDEN |
Zip Code Of The Provider |
190361101 |
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 |
15 |
Number Of Services |
566 |
Number Of Medicare Beneficiaries |
138 |
Total Submitted Charge Amount |
42700 |
Total Medicare Allowed Amount |
34061.77 |
Total Medicare Payment Amount |
23470.84 |
Total Medicare Standardized Payment Amount |
23474.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
37 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
1765 |
Total Drug Medicare AllowedAmount |
577.96 |
Total Drug Medicare PaymentAmount |
552.53 |
Total Drug Medicare Standardized Payment Amount |
552.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
12 |
Number Of Medical Services |
529 |
Number Of Medicare Beneficiaries With Medical Services |
138 |
Total Medical Submitted Charge Amount |
40935 |
Total Medical Medicare Allowed Amount |
33483.81 |
Total Medical Medicare Payment Amount |
22918.31 |
Total Medical Medicare Standardized Payment Amount |
22921.84 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
53 |
Number Of Beneficiaries Age 75 to 84 |
30 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
70 |
Number Of Male Beneficiaries |
68 |
Number Of Non Hispanic White Beneficiaries |
119 |
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 |
122 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1463 |