National Provider Identifier [NPI]: |
1649273251 |
Last Name Of The Provider |
HANDLER |
First Name Of The Provider |
JAY |
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 |
2137 WELSH RD |
Street Address 2 Of The Provider |
STE 2D |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191154963 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
4669 |
Number Of Medicare Beneficiaries |
999 |
Total Submitted Charge Amount |
886395 |
Total Medicare Allowed Amount |
237179.93 |
Total Medicare Payment Amount |
172190.5 |
Total Medicare Standardized Payment Amount |
164144.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
268 |
Number Of Medicare Beneficiaries With Drug Services |
120 |
Total Drug Submitted ChargeAmount |
222570 |
Total Drug Medicare AllowedAmount |
32828.21 |
Total Drug Medicare PaymentAmount |
24657.33 |
Total Drug Medicare Standardized Payment Amount |
24657.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
4401 |
Number Of Medicare Beneficiaries With Medical Services |
998 |
Total Medical Submitted Charge Amount |
663825 |
Total Medical Medicare Allowed Amount |
204351.72 |
Total Medical Medicare Payment Amount |
147533.17 |
Total Medical Medicare Standardized Payment Amount |
139487.58 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
525 |
Number Of Beneficiaries Age 75 to 84 |
297 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
59 |
Number Of Male Beneficiaries |
940 |
Number Of Non Hispanic White Beneficiaries |
894 |
Number Of Black or African American Beneficiaries |
50 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
868 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
38 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0963 |