National Provider Identifier [NPI]: |
1700859345 |
Last Name Of The Provider |
STONER |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
205 SAINT CHARLES WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
YORK |
Zip Code Of The Provider |
17402 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
116 |
Number Of Services |
6006 |
Number Of Medicare Beneficiaries |
1137 |
Total Submitted Charge Amount |
1252872.5 |
Total Medicare Allowed Amount |
809041.59 |
Total Medicare Payment Amount |
615984.56 |
Total Medicare Standardized Payment Amount |
620967.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
15 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
82.5 |
Total Drug Medicare AllowedAmount |
26.74 |
Total Drug Medicare PaymentAmount |
20.97 |
Total Drug Medicare Standardized Payment Amount |
20.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
115 |
Number Of Medical Services |
5991 |
Number Of Medicare Beneficiaries With Medical Services |
1137 |
Total Medical Submitted Charge Amount |
1252790 |
Total Medical Medicare Allowed Amount |
809014.85 |
Total Medical Medicare Payment Amount |
615963.59 |
Total Medical Medicare Standardized Payment Amount |
620946.72 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
313 |
Number Of Beneficiaries Age 75 to 84 |
498 |
Number Of Beneficiaries Age Greater 84 |
305 |
Number Of Female Beneficiaries |
505 |
Number Of Male Beneficiaries |
632 |
Number Of Non Hispanic White Beneficiaries |
1119 |
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 |
1118 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1016 |