National Provider Identifier [NPI]: |
1407812159 |
Last Name Of The Provider |
DELROSARIO |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5125 JONESTOWN RD |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
HARRISBURG |
Zip Code Of The Provider |
171122990 |
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 |
96 |
Number Of Services |
2556 |
Number Of Medicare Beneficiaries |
751 |
Total Submitted Charge Amount |
245498 |
Total Medicare Allowed Amount |
105404.94 |
Total Medicare Payment Amount |
77238.02 |
Total Medicare Standardized Payment Amount |
73760.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
144 |
Number Of Medicare Beneficiaries With Drug Services |
89 |
Total Drug Submitted ChargeAmount |
1611 |
Total Drug Medicare AllowedAmount |
574.04 |
Total Drug Medicare PaymentAmount |
515.13 |
Total Drug Medicare Standardized Payment Amount |
515.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
2412 |
Number Of Medicare Beneficiaries With Medical Services |
751 |
Total Medical Submitted Charge Amount |
243887 |
Total Medical Medicare Allowed Amount |
104830.9 |
Total Medical Medicare Payment Amount |
76722.89 |
Total Medical Medicare Standardized Payment Amount |
73245.65 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
355 |
Number Of Beneficiaries Age 75 to 84 |
187 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
467 |
Number Of Male Beneficiaries |
284 |
Number Of Non Hispanic White Beneficiaries |
638 |
Number Of Black or African American Beneficiaries |
91 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
687 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
64 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9667 |