National Provider Identifier [NPI]: |
1841455839 |
Last Name Of The Provider |
KRETSCHMAN |
First Name Of The Provider |
DANA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1250 S CEDAR CREST BLVD |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
ALLENTOWN |
Zip Code Of The Provider |
181036224 |
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 |
32 |
Number Of Services |
1048 |
Number Of Medicare Beneficiaries |
529 |
Total Submitted Charge Amount |
240985 |
Total Medicare Allowed Amount |
104647.45 |
Total Medicare Payment Amount |
81690.95 |
Total Medicare Standardized Payment Amount |
83787.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
12 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
60 |
Total Drug Medicare AllowedAmount |
0.63 |
Total Drug Medicare PaymentAmount |
0.51 |
Total Drug Medicare Standardized Payment Amount |
0.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
1036 |
Number Of Medicare Beneficiaries With Medical Services |
529 |
Total Medical Submitted Charge Amount |
240925 |
Total Medical Medicare Allowed Amount |
104646.82 |
Total Medical Medicare Payment Amount |
81690.44 |
Total Medical Medicare Standardized Payment Amount |
83787.37 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
114 |
Number Of Beneficiaries Age 65 to 74 |
180 |
Number Of Beneficiaries Age 75 to 84 |
155 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
265 |
Number Of Male Beneficiaries |
264 |
Number Of Non Hispanic White Beneficiaries |
480 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
380 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
149 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
58 |
Percent Of With Chronic Obstructive Pulmonary Disease |
49 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
22 |
Average HCC Risk Score Of Beneficiaries |
2.6603 |