National Provider Identifier [NPI]: |
1851396600 |
Last Name Of The Provider |
MENDELSON |
First Name Of The Provider |
LAWRENCE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
825 OLD LANCASTER RD |
Street Address 2 Of The Provider |
SUITE 320 |
City Of The Provider |
BRYN MAWR |
Zip Code Of The Provider |
190103231 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
5708 |
Number Of Medicare Beneficiaries |
1850 |
Total Submitted Charge Amount |
999775 |
Total Medicare Allowed Amount |
529455.22 |
Total Medicare Payment Amount |
404542.84 |
Total Medicare Standardized Payment Amount |
385888.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
254 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
18360 |
Total Drug Medicare AllowedAmount |
12942.47 |
Total Drug Medicare PaymentAmount |
9980.37 |
Total Drug Medicare Standardized Payment Amount |
9980.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
5454 |
Number Of Medicare Beneficiaries With Medical Services |
1850 |
Total Medical Submitted Charge Amount |
981415 |
Total Medical Medicare Allowed Amount |
516512.75 |
Total Medical Medicare Payment Amount |
394562.47 |
Total Medical Medicare Standardized Payment Amount |
375908.27 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
597 |
Number Of Beneficiaries Age 75 to 84 |
569 |
Number Of Beneficiaries Age Greater 84 |
557 |
Number Of Female Beneficiaries |
981 |
Number Of Male Beneficiaries |
869 |
Number Of Non Hispanic White Beneficiaries |
1687 |
Number Of Black or African American Beneficiaries |
94 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
30 |
Number Of Beneficiaries With Medicare Only Entitlement |
1671 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
179 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.7036 |