Medicare Facts for Dr. Bruce E. Walther, MD


National Provider Identifier [NPI]: 1104060995
Last Name Of The Provider WALTHER
First Name Of The Provider BRUCE
Middle Initial Of The Provider E
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 105 FOURTH STREET
Street Address 2 Of The Provider
City Of The Provider EAST BERLIN
Zip Code Of The Provider 173160727
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 34
Number Of Services 370
Number Of Medicare Beneficiaries 194
Total Submitted Charge Amount 37583
Total Medicare Allowed Amount 30961.6
Total Medicare Payment Amount 18865.52
Total Medicare Standardized Payment Amount 19890.55
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 34
Number Of Beneficiaries Age 65 to 74 71
Number Of Beneficiaries Age 75 to 84 62
Number Of Beneficiaries Age Greater 84 27
Number Of Female Beneficiaries 95
Number Of Male Beneficiaries 99
Number Of Non Hispanic White Beneficiaries 181
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 156
Number Of Beneficiaries With Medicare Medicaid Entitlement 38
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 7
Percent Of With Cancer 7
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 24
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 72
Percent Of With Hypertension 71
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9863

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