Medicare Facts for Colleen J. O'Connor


National Provider Identifier [NPI]: 1922087154
Last Name Of The Provider O'CONNOR
First Name Of The Provider COLLEEN
Middle Initial Of The Provider E
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 100 LANCASTER AVE.
Street Address 2 Of The Provider 4 PAVILION, SUITE 4303
City Of The Provider WYNNEWOOD
Zip Code Of The Provider 190963450
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 14
Number Of Services 665
Number Of Medicare Beneficiaries 288
Total Submitted Charge Amount 116250
Total Medicare Allowed Amount 71543.21
Total Medicare Payment Amount 54856.54
Total Medicare Standardized Payment Amount 52216.15
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 14
Number Of Medical Services 665
Number Of Medicare Beneficiaries With Medical Services 288
Total Medical Submitted Charge Amount 116250
Total Medical Medicare Allowed Amount 71543.21
Total Medical Medicare Payment Amount 54856.54
Total Medical Medicare Standardized Payment Amount 52216.15
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 64
Number Of Beneficiaries Age 65 to 74 83
Number Of Beneficiaries Age 75 to 84 81
Number Of Beneficiaries Age Greater 84 60
Number Of Female Beneficiaries 175
Number Of Male Beneficiaries 113
Number Of Non Hispanic White Beneficiaries 153
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 184
Number Of Beneficiaries With Medicare Medicaid Entitlement 104
Percent Of With Atrial Fibrillation 28
Percent Of With Alzheimers Disease or Dementia 34
Percent Of With Asthma 16
Percent Of With Cancer 19
Percent Of With Heart Failure 56
Percent Of With Chronic Kidney Disease 66
Percent Of With Chronic Obstructive Pulmonary Disease 32
Percent Of With Depression 35
Percent Of With Diabetes 52
Percent Of With Hyperlipidemia 74
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 63
Percent Of With Osteoporosis 15
Percent Of With Rheumatoid Arthritis Osteoarthritis 51
Percent Of With Schizophrenia Other PsychoticDisorders 11
Percent Of With Stroke 19
Average HCC Risk Score Of Beneficiaries 3.2051

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