National Provider Identifier [NPI]: |
1245201706 |
Last Name Of The Provider |
COREY |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 E LANCASTER AVE |
Street Address 2 Of The Provider |
161 LANKENAU MOB EAST |
City Of The Provider |
WYNNEWOOD |
Zip Code Of The Provider |
190963450 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
4251 |
Number Of Medicare Beneficiaries |
976 |
Total Submitted Charge Amount |
553215.2 |
Total Medicare Allowed Amount |
434118.32 |
Total Medicare Payment Amount |
311621.4 |
Total Medicare Standardized Payment Amount |
302624.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
86 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
3600 |
Total Drug Medicare AllowedAmount |
1401.32 |
Total Drug Medicare PaymentAmount |
1372.92 |
Total Drug Medicare Standardized Payment Amount |
1372.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
4165 |
Number Of Medicare Beneficiaries With Medical Services |
976 |
Total Medical Submitted Charge Amount |
549615.2 |
Total Medical Medicare Allowed Amount |
432717 |
Total Medical Medicare Payment Amount |
310248.48 |
Total Medical Medicare Standardized Payment Amount |
301251.74 |
Average Age Of Beneficiaries |
82 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
188 |
Number Of Beneficiaries Age 75 to 84 |
276 |
Number Of Beneficiaries Age Greater 84 |
470 |
Number Of Female Beneficiaries |
658 |
Number Of Male Beneficiaries |
318 |
Number Of Non Hispanic White Beneficiaries |
721 |
Number Of Black or African American Beneficiaries |
233 |
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 |
852 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
124 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
47 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.6926 |