National Provider Identifier [NPI]: |
1184604845 |
Last Name Of The Provider |
MALLOY |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 GRANITE POINT DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
WYOMISSING |
Zip Code Of The Provider |
196101986 |
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 |
12825 |
Number Of Medicare Beneficiaries |
1383 |
Total Submitted Charge Amount |
4214640 |
Total Medicare Allowed Amount |
2679126.61 |
Total Medicare Payment Amount |
2064386.31 |
Total Medicare Standardized Payment Amount |
2081755.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
3815 |
Number Of Medicare Beneficiaries With Drug Services |
362 |
Total Drug Submitted ChargeAmount |
2090070 |
Total Drug Medicare AllowedAmount |
1837365.44 |
Total Drug Medicare PaymentAmount |
1439369.92 |
Total Drug Medicare Standardized Payment Amount |
1439369.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
9010 |
Number Of Medicare Beneficiaries With Medical Services |
1383 |
Total Medical Submitted Charge Amount |
2124570 |
Total Medical Medicare Allowed Amount |
841761.17 |
Total Medical Medicare Payment Amount |
625016.39 |
Total Medical Medicare Standardized Payment Amount |
642386.06 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
477 |
Number Of Beneficiaries Age 75 to 84 |
484 |
Number Of Beneficiaries Age Greater 84 |
352 |
Number Of Female Beneficiaries |
843 |
Number Of Male Beneficiaries |
540 |
Number Of Non Hispanic White Beneficiaries |
1326 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1253 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
130 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4437 |