National Provider Identifier [NPI]: |
1124216056 |
Last Name Of The Provider |
CROZIER |
First Name Of The Provider |
ASHLEIGH |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
P.A.-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
21 CORPORATE DR |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
EASTON |
Zip Code Of The Provider |
180452664 |
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 |
37 |
Number Of Services |
1626 |
Number Of Medicare Beneficiaries |
436 |
Total Submitted Charge Amount |
281262.2 |
Total Medicare Allowed Amount |
96678.99 |
Total Medicare Payment Amount |
66716.65 |
Total Medicare Standardized Payment Amount |
82790.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
143 |
Number Of Medicare Beneficiaries With Drug Services |
80 |
Total Drug Submitted ChargeAmount |
9108.2 |
Total Drug Medicare AllowedAmount |
3185.82 |
Total Drug Medicare PaymentAmount |
2880.22 |
Total Drug Medicare Standardized Payment Amount |
2880.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1483 |
Number Of Medicare Beneficiaries With Medical Services |
436 |
Total Medical Submitted Charge Amount |
272154 |
Total Medical Medicare Allowed Amount |
93493.17 |
Total Medical Medicare Payment Amount |
63836.43 |
Total Medical Medicare Standardized Payment Amount |
79910.66 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
118 |
Number Of Beneficiaries Age 75 to 84 |
153 |
Number Of Beneficiaries Age Greater 84 |
148 |
Number Of Female Beneficiaries |
269 |
Number Of Male Beneficiaries |
167 |
Number Of Non Hispanic White Beneficiaries |
406 |
Number Of Black or African American Beneficiaries |
14 |
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 |
401 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6231 |