| National Provider Identifier [NPI]: | 1336149442 |
| Last Name Of The Provider | TUCKER |
| First Name Of The Provider | PETER |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4310 LONDONDERRY RD |
| Street Address 2 Of The Provider | SUITE 101 |
| City Of The Provider | HARRISBURG |
| Zip Code Of The Provider | 171095300 |
| State Code Of The Provider | PA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 111 |
| Number Of Services | 4608 |
| Number Of Medicare Beneficiaries | 1556 |
| Total Submitted Charge Amount | 497130 |
| Total Medicare Allowed Amount | 211598.85 |
| Total Medicare Payment Amount | 160855.65 |
| Total Medicare Standardized Payment Amount | 169106.39 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 192 |
| Number Of Medicare Beneficiaries With Drug Services | 22 |
| Total Drug Submitted ChargeAmount | 57511 |
| Total Drug Medicare AllowedAmount | 17978.89 |
| Total Drug Medicare PaymentAmount | 13339 |
| Total Drug Medicare Standardized Payment Amount | 13339 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 104 |
| Number Of Medical Services | 4416 |
| Number Of Medicare Beneficiaries With Medical Services | 1556 |
| Total Medical Submitted Charge Amount | 439619 |
| Total Medical Medicare Allowed Amount | 193619.96 |
| Total Medical Medicare Payment Amount | 147516.65 |
| Total Medical Medicare Standardized Payment Amount | 155767.39 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 108 |
| Number Of Beneficiaries Age 65 to 74 | 654 |
| Number Of Beneficiaries Age 75 to 84 | 579 |
| Number Of Beneficiaries Age Greater 84 | 215 |
| Number Of Female Beneficiaries | 304 |
| Number Of Male Beneficiaries | 1252 |
| Number Of Non Hispanic White Beneficiaries | 1359 |
| Number Of Black or African American Beneficiaries | 137 |
| 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 | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1431 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 125 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 26 |
| Percent Of With Heart Failure | 15 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 15 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 3 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.18 |