National Provider Identifier [NPI]: |
1144273509 |
Last Name Of The Provider |
COHEN |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
210 W ATLANTIC AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HADDON HEIGHTS |
Zip Code Of The Provider |
080351715 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
10157 |
Number Of Medicare Beneficiaries |
2363 |
Total Submitted Charge Amount |
1141403.09 |
Total Medicare Allowed Amount |
646720.52 |
Total Medicare Payment Amount |
496290.86 |
Total Medicare Standardized Payment Amount |
470141.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4655 |
Number Of Medicare Beneficiaries With Drug Services |
140 |
Total Drug Submitted ChargeAmount |
28304.09 |
Total Drug Medicare AllowedAmount |
25952.36 |
Total Drug Medicare PaymentAmount |
20190.72 |
Total Drug Medicare Standardized Payment Amount |
20190.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
5502 |
Number Of Medicare Beneficiaries With Medical Services |
2362 |
Total Medical Submitted Charge Amount |
1113099 |
Total Medical Medicare Allowed Amount |
620768.16 |
Total Medical Medicare Payment Amount |
476100.14 |
Total Medical Medicare Standardized Payment Amount |
449951.15 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
368 |
Number Of Beneficiaries Age 65 to 74 |
798 |
Number Of Beneficiaries Age 75 to 84 |
664 |
Number Of Beneficiaries Age Greater 84 |
533 |
Number Of Female Beneficiaries |
1278 |
Number Of Male Beneficiaries |
1085 |
Number Of Non Hispanic White Beneficiaries |
1861 |
Number Of Black or African American Beneficiaries |
343 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
102 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
1822 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
541 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
1.9508 |