National Provider Identifier [NPI]: |
1912985599 |
Last Name Of The Provider |
ROBERTS |
First Name Of The Provider |
ERIN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
310 STOCK ST |
Street Address 2 Of The Provider |
SUITE 4 |
City Of The Provider |
HANOVER |
Zip Code Of The Provider |
173312276 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
2090 |
Number Of Medicare Beneficiaries |
339 |
Total Submitted Charge Amount |
221581.18 |
Total Medicare Allowed Amount |
132795.54 |
Total Medicare Payment Amount |
100648.62 |
Total Medicare Standardized Payment Amount |
103921.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
514 |
Number Of Medicare Beneficiaries With Drug Services |
234 |
Total Drug Submitted ChargeAmount |
57344 |
Total Drug Medicare AllowedAmount |
36027.38 |
Total Drug Medicare PaymentAmount |
34916.57 |
Total Drug Medicare Standardized Payment Amount |
34916.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
1576 |
Number Of Medicare Beneficiaries With Medical Services |
339 |
Total Medical Submitted Charge Amount |
164237.18 |
Total Medical Medicare Allowed Amount |
96768.16 |
Total Medical Medicare Payment Amount |
65732.05 |
Total Medical Medicare Standardized Payment Amount |
69005.22 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
170 |
Number Of Beneficiaries Age 75 to 84 |
117 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
212 |
Number Of Male Beneficiaries |
127 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
320 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
|
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9905 |