National Provider Identifier [NPI]: |
1154751964 |
Last Name Of The Provider |
HOLDREGE |
First Name Of The Provider |
FRANZISKA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
190 W GERMANTOWN PIKE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
EAST NORRITON |
Zip Code Of The Provider |
194011385 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
23 |
Number Of Services |
2235 |
Number Of Medicare Beneficiaries |
408 |
Total Submitted Charge Amount |
284382 |
Total Medicare Allowed Amount |
180226.17 |
Total Medicare Payment Amount |
139043.07 |
Total Medicare Standardized Payment Amount |
153985.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
30 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
810 |
Total Drug Medicare AllowedAmount |
376.16 |
Total Drug Medicare PaymentAmount |
368.66 |
Total Drug Medicare Standardized Payment Amount |
368.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
2205 |
Number Of Medicare Beneficiaries With Medical Services |
408 |
Total Medical Submitted Charge Amount |
283572 |
Total Medical Medicare Allowed Amount |
179850.01 |
Total Medical Medicare Payment Amount |
138674.41 |
Total Medical Medicare Standardized Payment Amount |
153617.03 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
70 |
Number Of Beneficiaries Age 75 to 84 |
91 |
Number Of Beneficiaries Age Greater 84 |
171 |
Number Of Female Beneficiaries |
247 |
Number Of Male Beneficiaries |
161 |
Number Of Non Hispanic White Beneficiaries |
322 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
245 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
163 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
71 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
64 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
2.3479 |