National Provider Identifier [NPI]: |
1902867716 |
Last Name Of The Provider |
ZLUPKO |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 CHESTNUT AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALTOONA |
Zip Code Of The Provider |
166014722 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
3619 |
Number Of Medicare Beneficiaries |
405 |
Total Submitted Charge Amount |
248065 |
Total Medicare Allowed Amount |
145382.97 |
Total Medicare Payment Amount |
108305.09 |
Total Medicare Standardized Payment Amount |
114482.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
67 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
1780 |
Total Drug Medicare AllowedAmount |
1052 |
Total Drug Medicare PaymentAmount |
938.92 |
Total Drug Medicare Standardized Payment Amount |
938.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
3552 |
Number Of Medicare Beneficiaries With Medical Services |
405 |
Total Medical Submitted Charge Amount |
246285 |
Total Medical Medicare Allowed Amount |
144330.97 |
Total Medical Medicare Payment Amount |
107366.17 |
Total Medical Medicare Standardized Payment Amount |
113543.65 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
145 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
205 |
Number Of Male Beneficiaries |
200 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
290 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
24 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
48 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6767 |