National Provider Identifier [NPI]: |
1700922390 |
Last Name Of The Provider |
BLOCK |
First Name Of The Provider |
AARON |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
P.A.-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
20251 JOHN J WILLIAMS HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEWES |
Zip Code Of The Provider |
199584314 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
1677 |
Number Of Medicare Beneficiaries |
1047 |
Total Submitted Charge Amount |
219651 |
Total Medicare Allowed Amount |
127764.09 |
Total Medicare Payment Amount |
89763.36 |
Total Medicare Standardized Payment Amount |
105979.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
54 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
972 |
Total Drug Medicare AllowedAmount |
323.48 |
Total Drug Medicare PaymentAmount |
265.78 |
Total Drug Medicare Standardized Payment Amount |
265.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1623 |
Number Of Medicare Beneficiaries With Medical Services |
1047 |
Total Medical Submitted Charge Amount |
218679 |
Total Medical Medicare Allowed Amount |
127440.61 |
Total Medical Medicare Payment Amount |
89497.58 |
Total Medical Medicare Standardized Payment Amount |
105713.4 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
539 |
Number Of Beneficiaries Age 75 to 84 |
309 |
Number Of Beneficiaries Age Greater 84 |
96 |
Number Of Female Beneficiaries |
530 |
Number Of Male Beneficiaries |
517 |
Number Of Non Hispanic White Beneficiaries |
965 |
Number Of Black or African American Beneficiaries |
50 |
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 |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
945 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9936 |