National Provider Identifier [NPI]: |
1619975687 |
Last Name Of The Provider |
DECKER |
First Name Of The Provider |
EUGENE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
755 MEMORIAL PKWY |
Street Address 2 Of The Provider |
UNTIL 300 |
City Of The Provider |
PHILLIPSBURG |
Zip Code Of The Provider |
088652748 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
2165 |
Number Of Medicare Beneficiaries |
416 |
Total Submitted Charge Amount |
141907.5 |
Total Medicare Allowed Amount |
106396.47 |
Total Medicare Payment Amount |
74839.68 |
Total Medicare Standardized Payment Amount |
68136.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
842 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
3725.5 |
Total Drug Medicare AllowedAmount |
2271.17 |
Total Drug Medicare PaymentAmount |
2185.03 |
Total Drug Medicare Standardized Payment Amount |
2185.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
1323 |
Number Of Medicare Beneficiaries With Medical Services |
416 |
Total Medical Submitted Charge Amount |
138182 |
Total Medical Medicare Allowed Amount |
104125.3 |
Total Medical Medicare Payment Amount |
72654.65 |
Total Medical Medicare Standardized Payment Amount |
65951.47 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
154 |
Number Of Beneficiaries Age 75 to 84 |
94 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
260 |
Number Of Male Beneficiaries |
156 |
Number Of Non Hispanic White Beneficiaries |
362 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
225 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
191 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3561 |