National Provider Identifier [NPI]: |
1013063783 |
Last Name Of The Provider |
RAFF |
First Name Of The Provider |
HEATHER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16704 KINGS HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEWES |
Zip Code Of The Provider |
199584929 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
5271 |
Number Of Medicare Beneficiaries |
1580 |
Total Submitted Charge Amount |
1039865.7 |
Total Medicare Allowed Amount |
513320.76 |
Total Medicare Payment Amount |
386900.32 |
Total Medicare Standardized Payment Amount |
381788.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
903 |
Number Of Medicare Beneficiaries With Drug Services |
212 |
Total Drug Submitted ChargeAmount |
50994 |
Total Drug Medicare AllowedAmount |
44919.98 |
Total Drug Medicare PaymentAmount |
35216.37 |
Total Drug Medicare Standardized Payment Amount |
35216.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
4368 |
Number Of Medicare Beneficiaries With Medical Services |
1580 |
Total Medical Submitted Charge Amount |
988871.7 |
Total Medical Medicare Allowed Amount |
468400.78 |
Total Medical Medicare Payment Amount |
351683.95 |
Total Medical Medicare Standardized Payment Amount |
346572.25 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
746 |
Number Of Beneficiaries Age 75 to 84 |
547 |
Number Of Beneficiaries Age Greater 84 |
207 |
Number Of Female Beneficiaries |
784 |
Number Of Male Beneficiaries |
796 |
Number Of Non Hispanic White Beneficiaries |
1501 |
Number Of Black or African American Beneficiaries |
46 |
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 |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1458 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
122 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.2665 |