National Provider Identifier [NPI]: |
1760453831 |
Last Name Of The Provider |
MOHAN |
First Name Of The Provider |
FRANCIS |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8 OAK GROVE RD |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
PINE GROVE |
Zip Code Of The Provider |
179631226 |
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 |
80 |
Number Of Services |
26771 |
Number Of Medicare Beneficiaries |
2223 |
Total Submitted Charge Amount |
827268 |
Total Medicare Allowed Amount |
412680.84 |
Total Medicare Payment Amount |
366341.5 |
Total Medicare Standardized Payment Amount |
372596.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
384 |
Number Of Medicare Beneficiaries With Drug Services |
234 |
Total Drug Submitted ChargeAmount |
27642 |
Total Drug Medicare AllowedAmount |
18355.32 |
Total Drug Medicare PaymentAmount |
17873.91 |
Total Drug Medicare Standardized Payment Amount |
17873.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
26387 |
Number Of Medicare Beneficiaries With Medical Services |
2223 |
Total Medical Submitted Charge Amount |
799626 |
Total Medical Medicare Allowed Amount |
394325.52 |
Total Medical Medicare Payment Amount |
348467.59 |
Total Medical Medicare Standardized Payment Amount |
354722.68 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
921 |
Number Of Beneficiaries Age 75 to 84 |
771 |
Number Of Beneficiaries Age Greater 84 |
363 |
Number Of Female Beneficiaries |
1238 |
Number Of Male Beneficiaries |
985 |
Number Of Non Hispanic White Beneficiaries |
2152 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
2028 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
195 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0235 |