National Provider Identifier [NPI]: |
1578572962 |
Last Name Of The Provider |
POTZ |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2510 MARYLAND RD |
Street Address 2 Of The Provider |
SUITE 175 |
City Of The Provider |
WILLOW GROVE |
Zip Code Of The Provider |
190901109 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
90 |
Number Of Services |
98311 |
Number Of Medicare Beneficiaries |
460 |
Total Submitted Charge Amount |
2196835.15 |
Total Medicare Allowed Amount |
1335368.28 |
Total Medicare Payment Amount |
1043911.54 |
Total Medicare Standardized Payment Amount |
1034453.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
55 |
Number Of Drug Services |
94721 |
Number Of Medicare Beneficiaries With Drug Services |
172 |
Total Drug Submitted ChargeAmount |
1820790.65 |
Total Drug Medicare AllowedAmount |
1128488.88 |
Total Drug Medicare PaymentAmount |
884241.42 |
Total Drug Medicare Standardized Payment Amount |
884241.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
3590 |
Number Of Medicare Beneficiaries With Medical Services |
460 |
Total Medical Submitted Charge Amount |
376044.5 |
Total Medical Medicare Allowed Amount |
206879.4 |
Total Medical Medicare Payment Amount |
159670.12 |
Total Medical Medicare Standardized Payment Amount |
150212.31 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
185 |
Number Of Beneficiaries Age 75 to 84 |
148 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
260 |
Number Of Male Beneficiaries |
200 |
Number Of Non Hispanic White Beneficiaries |
404 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
398 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
39 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.1797 |