National Provider Identifier [NPI]: |
1669426219 |
Last Name Of The Provider |
KROME |
First Name Of The Provider |
CHARLES |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2007 N BLACK HORSE PIKE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WILLIAMSTOWN |
Zip Code Of The Provider |
080949120 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
5601 |
Number Of Medicare Beneficiaries |
734 |
Total Submitted Charge Amount |
1128990 |
Total Medicare Allowed Amount |
486722.89 |
Total Medicare Payment Amount |
365446.29 |
Total Medicare Standardized Payment Amount |
340699.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2552 |
Number Of Medicare Beneficiaries With Drug Services |
501 |
Total Drug Submitted ChargeAmount |
517826 |
Total Drug Medicare AllowedAmount |
242490.38 |
Total Drug Medicare PaymentAmount |
188458.77 |
Total Drug Medicare Standardized Payment Amount |
188458.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
3049 |
Number Of Medicare Beneficiaries With Medical Services |
734 |
Total Medical Submitted Charge Amount |
611164 |
Total Medical Medicare Allowed Amount |
244232.51 |
Total Medical Medicare Payment Amount |
176987.52 |
Total Medical Medicare Standardized Payment Amount |
152240.67 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
382 |
Number Of Beneficiaries Age 75 to 84 |
194 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
471 |
Number Of Male Beneficiaries |
263 |
Number Of Non Hispanic White Beneficiaries |
630 |
Number Of Black or African American Beneficiaries |
64 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
675 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.036 |