National Provider Identifier [NPI]: |
1932120581 |
Last Name Of The Provider |
MALKOWSKI |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12 QUAKER VILLAGE SHOPPING CTR |
Street Address 2 Of The Provider |
OHIO RIVER BLVD STE 2 |
City Of The Provider |
LEETSDALE |
Zip Code Of The Provider |
150561206 |
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 |
48 |
Number Of Services |
2125 |
Number Of Medicare Beneficiaries |
1070 |
Total Submitted Charge Amount |
345505 |
Total Medicare Allowed Amount |
137863.08 |
Total Medicare Payment Amount |
102933.08 |
Total Medicare Standardized Payment Amount |
108249.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
98 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
10188 |
Total Drug Medicare AllowedAmount |
5215.8 |
Total Drug Medicare PaymentAmount |
4089.17 |
Total Drug Medicare Standardized Payment Amount |
4089.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
2027 |
Number Of Medicare Beneficiaries With Medical Services |
1070 |
Total Medical Submitted Charge Amount |
335317 |
Total Medical Medicare Allowed Amount |
132647.28 |
Total Medical Medicare Payment Amount |
98843.91 |
Total Medical Medicare Standardized Payment Amount |
104160.44 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
385 |
Number Of Beneficiaries Age 75 to 84 |
300 |
Number Of Beneficiaries Age Greater 84 |
238 |
Number Of Female Beneficiaries |
590 |
Number Of Male Beneficiaries |
480 |
Number Of Non Hispanic White Beneficiaries |
980 |
Number Of Black or African American Beneficiaries |
71 |
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 |
889 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
181 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6516 |