National Provider Identifier [NPI]: |
1003927559 |
Last Name Of The Provider |
NIEWIAROWSKA |
First Name Of The Provider |
ANNA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 OSTRUM ST |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
FOUNTAIN HILL |
Zip Code Of The Provider |
180151015 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
125 |
Number Of Services |
183865 |
Number Of Medicare Beneficiaries |
215 |
Total Submitted Charge Amount |
5046849 |
Total Medicare Allowed Amount |
2516796.85 |
Total Medicare Payment Amount |
1971920.52 |
Total Medicare Standardized Payment Amount |
1976726.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
65 |
Number Of Drug Services |
170538 |
Number Of Medicare Beneficiaries With Drug Services |
126 |
Total Drug Submitted ChargeAmount |
4155549 |
Total Drug Medicare AllowedAmount |
2151412.93 |
Total Drug Medicare PaymentAmount |
1677833.86 |
Total Drug Medicare Standardized Payment Amount |
1677833.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
13327 |
Number Of Medicare Beneficiaries With Medical Services |
212 |
Total Medical Submitted Charge Amount |
891300 |
Total Medical Medicare Allowed Amount |
365383.92 |
Total Medical Medicare Payment Amount |
294086.66 |
Total Medical Medicare Standardized Payment Amount |
298892.89 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
67 |
Number Of Beneficiaries Age 75 to 84 |
90 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
141 |
Number Of Male Beneficiaries |
74 |
Number Of Non Hispanic White Beneficiaries |
195 |
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 |
194 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.9576 |