National Provider Identifier [NPI]: |
1093710519 |
Last Name Of The Provider |
COZEN |
First Name Of The Provider |
BENNETT |
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 |
1400 OLD YORK RD |
Street Address 2 Of The Provider |
STE A |
City Of The Provider |
ABINGTON |
Zip Code Of The Provider |
190012600 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
3501 |
Number Of Medicare Beneficiaries |
632 |
Total Submitted Charge Amount |
302536 |
Total Medicare Allowed Amount |
228323.33 |
Total Medicare Payment Amount |
169168.37 |
Total Medicare Standardized Payment Amount |
160658.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
357 |
Number Of Medicare Beneficiaries With Drug Services |
309 |
Total Drug Submitted ChargeAmount |
14397 |
Total Drug Medicare AllowedAmount |
10170.6 |
Total Drug Medicare PaymentAmount |
9953.88 |
Total Drug Medicare Standardized Payment Amount |
9953.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
3144 |
Number Of Medicare Beneficiaries With Medical Services |
632 |
Total Medical Submitted Charge Amount |
288139 |
Total Medical Medicare Allowed Amount |
218152.73 |
Total Medical Medicare Payment Amount |
159214.49 |
Total Medical Medicare Standardized Payment Amount |
150704.86 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
273 |
Number Of Beneficiaries Age 75 to 84 |
211 |
Number Of Beneficiaries Age Greater 84 |
132 |
Number Of Female Beneficiaries |
373 |
Number Of Male Beneficiaries |
259 |
Number Of Non Hispanic White Beneficiaries |
595 |
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 |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
620 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
12 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9434 |