National Provider Identifier [NPI]: |
1477555498 |
Last Name Of The Provider |
SHAER |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1650 HUNTINGDON PIKE |
Street Address 2 Of The Provider |
STE 160 |
City Of The Provider |
MEADOWBROOK |
Zip Code Of The Provider |
190468004 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
150 |
Number Of Services |
9549 |
Number Of Medicare Beneficiaries |
3313 |
Total Submitted Charge Amount |
1089423.18 |
Total Medicare Allowed Amount |
288530.52 |
Total Medicare Payment Amount |
220247.31 |
Total Medicare Standardized Payment Amount |
210880.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3594 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
4762.44 |
Total Drug Medicare AllowedAmount |
1447.61 |
Total Drug Medicare PaymentAmount |
1121.38 |
Total Drug Medicare Standardized Payment Amount |
1121.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
148 |
Number Of Medical Services |
5955 |
Number Of Medicare Beneficiaries With Medical Services |
3313 |
Total Medical Submitted Charge Amount |
1084660.74 |
Total Medical Medicare Allowed Amount |
287082.91 |
Total Medical Medicare Payment Amount |
219125.93 |
Total Medical Medicare Standardized Payment Amount |
209759.51 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
757 |
Number Of Beneficiaries Age 65 to 74 |
1013 |
Number Of Beneficiaries Age 75 to 84 |
864 |
Number Of Beneficiaries Age Greater 84 |
679 |
Number Of Female Beneficiaries |
1960 |
Number Of Male Beneficiaries |
1353 |
Number Of Non Hispanic White Beneficiaries |
2641 |
Number Of Black or African American Beneficiaries |
483 |
Number Of AsianPacific Islander Beneficiaries |
51 |
Number Of Hispanic Beneficiaries |
103 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2391 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
922 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
1.947 |