National Provider Identifier [NPI]: |
1104911718 |
Last Name Of The Provider |
NAJJAR |
First Name Of The Provider |
DENISE |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5501 OLD YORK ROAD |
Street Address 2 Of The Provider |
TOWER GRD FL |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
19141 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pathology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
11 |
Number Of Services |
9574.4 |
Number Of Medicare Beneficiaries |
2917 |
Total Submitted Charge Amount |
1055643 |
Total Medicare Allowed Amount |
465588.21 |
Total Medicare Payment Amount |
359018.95 |
Total Medicare Standardized Payment Amount |
307400.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
11 |
Number Of Medical Services |
9574.4 |
Number Of Medicare Beneficiaries With Medical Services |
2917 |
Total Medical Submitted Charge Amount |
1055643 |
Total Medical Medicare Allowed Amount |
465588.21 |
Total Medical Medicare Payment Amount |
359018.95 |
Total Medical Medicare Standardized Payment Amount |
307400.25 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
208 |
Number Of Beneficiaries Age 65 to 74 |
1379 |
Number Of Beneficiaries Age 75 to 84 |
926 |
Number Of Beneficiaries Age Greater 84 |
404 |
Number Of Female Beneficiaries |
1014 |
Number Of Male Beneficiaries |
1903 |
Number Of Non Hispanic White Beneficiaries |
2532 |
Number Of Black or African American Beneficiaries |
246 |
Number Of AsianPacific Islander Beneficiaries |
40 |
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
67 |
Number Of Beneficiaries With Medicare Only Entitlement |
2730 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
187 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1295 |