National Provider Identifier [NPI]: |
1417994633 |
Last Name Of The Provider |
HOLLANDER |
First Name Of The Provider |
ADRIENNE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2309 E EVESHAM RD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
VOORHEES |
Zip Code Of The Provider |
080431559 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
32072 |
Number Of Medicare Beneficiaries |
574 |
Total Submitted Charge Amount |
1165708.25 |
Total Medicare Allowed Amount |
924435.76 |
Total Medicare Payment Amount |
714928.65 |
Total Medicare Standardized Payment Amount |
702031.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
30049 |
Number Of Medicare Beneficiaries With Drug Services |
268 |
Total Drug Submitted ChargeAmount |
883415.25 |
Total Drug Medicare AllowedAmount |
752338.79 |
Total Drug Medicare PaymentAmount |
586369.61 |
Total Drug Medicare Standardized Payment Amount |
586369.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
2023 |
Number Of Medicare Beneficiaries With Medical Services |
573 |
Total Medical Submitted Charge Amount |
282293 |
Total Medical Medicare Allowed Amount |
172096.97 |
Total Medical Medicare Payment Amount |
128559.04 |
Total Medical Medicare Standardized Payment Amount |
115661.71 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
276 |
Number Of Beneficiaries Age 75 to 84 |
163 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
472 |
Number Of Male Beneficiaries |
102 |
Number Of Non Hispanic White Beneficiaries |
488 |
Number Of Black or African American Beneficiaries |
60 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
536 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
39 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.148 |