National Provider Identifier [NPI]: |
1619236700 |
Last Name Of The Provider |
GUFFANTI |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
CRNP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
701 E MARSHALL ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST CHESTER |
Zip Code Of The Provider |
193804412 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
17 |
Number Of Services |
2045 |
Number Of Medicare Beneficiaries |
436 |
Total Submitted Charge Amount |
482155.81 |
Total Medicare Allowed Amount |
147693.55 |
Total Medicare Payment Amount |
115257.59 |
Total Medicare Standardized Payment Amount |
127794 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
2045 |
Number Of Medicare Beneficiaries With Medical Services |
436 |
Total Medical Submitted Charge Amount |
482155.81 |
Total Medical Medicare Allowed Amount |
147693.55 |
Total Medical Medicare Payment Amount |
115257.59 |
Total Medical Medicare Standardized Payment Amount |
127794 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
141 |
Number Of Beneficiaries Age 75 to 84 |
109 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
226 |
Number Of Male Beneficiaries |
210 |
Number Of Non Hispanic White Beneficiaries |
235 |
Number Of Black or African American Beneficiaries |
178 |
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 |
175 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
261 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
56 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
69 |
Percent Of With Chronic Kidney Disease |
69 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
53 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
31 |
Average HCC Risk Score Of Beneficiaries |
4.0304 |