National Provider Identifier [NPI]: |
1548291214 |
Last Name Of The Provider |
OSCHWALD |
First Name Of The Provider |
CHARLES |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1123 FRANKLIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
JOHNSTOWN |
Zip Code Of The Provider |
159054309 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
5590 |
Number Of Medicare Beneficiaries |
1352 |
Total Submitted Charge Amount |
1562281.8 |
Total Medicare Allowed Amount |
447110.7 |
Total Medicare Payment Amount |
335052.45 |
Total Medicare Standardized Payment Amount |
361894.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1564 |
Number Of Medicare Beneficiaries With Drug Services |
360 |
Total Drug Submitted ChargeAmount |
7716.8 |
Total Drug Medicare AllowedAmount |
2782.46 |
Total Drug Medicare PaymentAmount |
2057.96 |
Total Drug Medicare Standardized Payment Amount |
2057.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
4026 |
Number Of Medicare Beneficiaries With Medical Services |
1352 |
Total Medical Submitted Charge Amount |
1554565 |
Total Medical Medicare Allowed Amount |
444328.24 |
Total Medical Medicare Payment Amount |
332994.49 |
Total Medical Medicare Standardized Payment Amount |
359836.99 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
245 |
Number Of Beneficiaries Age 65 to 74 |
424 |
Number Of Beneficiaries Age 75 to 84 |
400 |
Number Of Beneficiaries Age Greater 84 |
283 |
Number Of Female Beneficiaries |
669 |
Number Of Male Beneficiaries |
683 |
Number Of Non Hispanic White Beneficiaries |
1297 |
Number Of Black or African American Beneficiaries |
40 |
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 |
1020 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
332 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6771 |