Medicare Facts for Dr. Albert B. DeFranco, MD


National Provider Identifier [NPI]: 1114992351
Last Name Of The Provider DEFRANCO
First Name Of The Provider ALBERT
Middle Initial Of The Provider B
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 497 BUSHKILL PLAZA LN
Street Address 2 Of The Provider
City Of The Provider WIND GAP
Zip Code Of The Provider 180919665
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 38
Number Of Services 1148
Number Of Medicare Beneficiaries 318
Total Submitted Charge Amount 120920
Total Medicare Allowed Amount 84603.41
Total Medicare Payment Amount 58222.87
Total Medicare Standardized Payment Amount 61430.67
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 125
Number Of Medicare Beneficiaries With Drug Services 99
Total Drug Submitted ChargeAmount 10858
Total Drug Medicare AllowedAmount 6696.77
Total Drug Medicare PaymentAmount 6560.19
Total Drug Medicare Standardized Payment Amount 6560.19
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 31
Number Of Medical Services 1023
Number Of Medicare Beneficiaries With Medical Services 318
Total Medical Submitted Charge Amount 110062
Total Medical Medicare Allowed Amount 77906.64
Total Medical Medicare Payment Amount 51662.68
Total Medical Medicare Standardized Payment Amount 54870.48
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 42
Number Of Beneficiaries Age 65 to 74 155
Number Of Beneficiaries Age 75 to 84 97
Number Of Beneficiaries Age Greater 84 24
Number Of Female Beneficiaries 161
Number Of Male Beneficiaries 157
Number Of Non Hispanic White Beneficiaries 298
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
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 290
Number Of Beneficiaries With Medicare Medicaid Entitlement 28
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 4
Percent Of With Asthma 11
Percent Of With Cancer 12
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 16
Percent Of With Diabetes 34
Percent Of With Hyperlipidemia 74
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 29
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 27
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0486

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