| National Provider Identifier [NPI]: | 1922056712 |
| Last Name Of The Provider | HO |
| First Name Of The Provider | ALLEN |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4060 BUTLER PIKE |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | PLYMOUTH MEETING |
| Zip Code Of The Provider | 194621560 |
| State Code Of The Provider | PA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 52 |
| Number Of Services | 29299 |
| Number Of Medicare Beneficiaries | 1723 |
| Total Submitted Charge Amount | 19592874 |
| Total Medicare Allowed Amount | 8175496.51 |
| Total Medicare Payment Amount | 6359759.06 |
| Total Medicare Standardized Payment Amount | 6261878.63 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 16424 |
| Number Of Medicare Beneficiaries With Drug Services | 593 |
| Total Drug Submitted ChargeAmount | 15473619 |
| Total Drug Medicare AllowedAmount | 6755066.82 |
| Total Drug Medicare PaymentAmount | 5291965.46 |
| Total Drug Medicare Standardized Payment Amount | 5291965.46 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 45 |
| Number Of Medical Services | 12875 |
| Number Of Medicare Beneficiaries With Medical Services | 1723 |
| Total Medical Submitted Charge Amount | 4119255 |
| Total Medical Medicare Allowed Amount | 1420429.69 |
| Total Medical Medicare Payment Amount | 1067793.6 |
| Total Medical Medicare Standardized Payment Amount | 969913.17 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 80 |
| Number Of Beneficiaries Age 65 to 74 | 602 |
| Number Of Beneficiaries Age 75 to 84 | 554 |
| Number Of Beneficiaries Age Greater 84 | 487 |
| Number Of Female Beneficiaries | 1046 |
| Number Of Male Beneficiaries | 677 |
| Number Of Non Hispanic White Beneficiaries | 1526 |
| Number Of Black or African American Beneficiaries | 115 |
| Number Of AsianPacific Islander Beneficiaries | 29 |
| Number Of Hispanic Beneficiaries | 21 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 32 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1580 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 143 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 16 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4319 |