National Provider Identifier [NPI]: |
1336113588 |
Last Name Of The Provider |
STOKEN |
First Name Of The Provider |
DREW |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
338 ALEXANDER SPRING RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CARLISLE |
Zip Code Of The Provider |
170159129 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
10231 |
Number Of Medicare Beneficiaries |
1966 |
Total Submitted Charge Amount |
3643476.04 |
Total Medicare Allowed Amount |
2048040.41 |
Total Medicare Payment Amount |
1557017.05 |
Total Medicare Standardized Payment Amount |
1586665.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2442 |
Number Of Medicare Beneficiaries With Drug Services |
120 |
Total Drug Submitted ChargeAmount |
1354910 |
Total Drug Medicare AllowedAmount |
1107626.73 |
Total Drug Medicare PaymentAmount |
865581.25 |
Total Drug Medicare Standardized Payment Amount |
865581.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
7789 |
Number Of Medicare Beneficiaries With Medical Services |
1966 |
Total Medical Submitted Charge Amount |
2288566.04 |
Total Medical Medicare Allowed Amount |
940413.68 |
Total Medical Medicare Payment Amount |
691435.8 |
Total Medical Medicare Standardized Payment Amount |
721084.55 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
652 |
Number Of Beneficiaries Age 75 to 84 |
788 |
Number Of Beneficiaries Age Greater 84 |
445 |
Number Of Female Beneficiaries |
1251 |
Number Of Male Beneficiaries |
715 |
Number Of Non Hispanic White Beneficiaries |
1902 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
1822 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
144 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1604 |