National Provider Identifier [NPI]: |
1932348729 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
CHAD |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3 W OLIVE ST |
Street Address 2 Of The Provider |
SUITE 118 |
City Of The Provider |
SCRANTON |
Zip Code Of The Provider |
185082572 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
12637 |
Number Of Medicare Beneficiaries |
471 |
Total Submitted Charge Amount |
512910.04 |
Total Medicare Allowed Amount |
282689.07 |
Total Medicare Payment Amount |
209730.62 |
Total Medicare Standardized Payment Amount |
213868.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
11343 |
Number Of Medicare Beneficiaries With Drug Services |
116 |
Total Drug Submitted ChargeAmount |
287863.88 |
Total Drug Medicare AllowedAmount |
157421.63 |
Total Drug Medicare PaymentAmount |
123068.93 |
Total Drug Medicare Standardized Payment Amount |
123068.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1294 |
Number Of Medicare Beneficiaries With Medical Services |
471 |
Total Medical Submitted Charge Amount |
225046.16 |
Total Medical Medicare Allowed Amount |
125267.44 |
Total Medical Medicare Payment Amount |
86661.69 |
Total Medical Medicare Standardized Payment Amount |
90799.42 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
120 |
Number Of Beneficiaries Age 65 to 74 |
191 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
353 |
Number Of Male Beneficiaries |
118 |
Number Of Non Hispanic White Beneficiaries |
440 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
350 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
121 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3305 |