National Provider Identifier [NPI]: |
1093809238 |
Last Name Of The Provider |
BELSKY |
First Name Of The Provider |
MARTIN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 BRICK RD |
Street Address 2 Of The Provider |
SUITE # 108 |
City Of The Provider |
MARLTON |
Zip Code Of The Provider |
080532146 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
5275 |
Number Of Medicare Beneficiaries |
900 |
Total Submitted Charge Amount |
555203.58 |
Total Medicare Allowed Amount |
439552.14 |
Total Medicare Payment Amount |
330555.21 |
Total Medicare Standardized Payment Amount |
292022.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
52 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
475 |
Total Drug Medicare AllowedAmount |
325.92 |
Total Drug Medicare PaymentAmount |
277.41 |
Total Drug Medicare Standardized Payment Amount |
277.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
5223 |
Number Of Medicare Beneficiaries With Medical Services |
900 |
Total Medical Submitted Charge Amount |
554728.58 |
Total Medical Medicare Allowed Amount |
439226.22 |
Total Medical Medicare Payment Amount |
330277.8 |
Total Medical Medicare Standardized Payment Amount |
291744.89 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
189 |
Number Of Beneficiaries Age 65 to 74 |
310 |
Number Of Beneficiaries Age 75 to 84 |
260 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
543 |
Number Of Male Beneficiaries |
357 |
Number Of Non Hispanic White Beneficiaries |
712 |
Number Of Black or African American Beneficiaries |
131 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
716 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
184 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.1796 |