National Provider Identifier [NPI]: |
1275583403 |
Last Name Of The Provider |
LITOVSKY |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
240 MIDDLETOWN BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LANGHORNE |
Zip Code Of The Provider |
190471816 |
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 |
41 |
Number Of Services |
1823 |
Number Of Medicare Beneficiaries |
491 |
Total Submitted Charge Amount |
304860 |
Total Medicare Allowed Amount |
154778.44 |
Total Medicare Payment Amount |
111419.72 |
Total Medicare Standardized Payment Amount |
106217.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
236 |
Number Of Medicare Beneficiaries With Drug Services |
161 |
Total Drug Submitted ChargeAmount |
20981 |
Total Drug Medicare AllowedAmount |
7902.87 |
Total Drug Medicare PaymentAmount |
7573.96 |
Total Drug Medicare Standardized Payment Amount |
7573.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
1587 |
Number Of Medicare Beneficiaries With Medical Services |
491 |
Total Medical Submitted Charge Amount |
283879 |
Total Medical Medicare Allowed Amount |
146875.57 |
Total Medical Medicare Payment Amount |
103845.76 |
Total Medical Medicare Standardized Payment Amount |
98643.16 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
180 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
304 |
Number Of Male Beneficiaries |
187 |
Number Of Non Hispanic White Beneficiaries |
467 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
470 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4254 |