National Provider Identifier [NPI]: |
1255307534 |
Last Name Of The Provider |
SZABO |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1005 LIGONIER ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LATROBE |
Zip Code Of The Provider |
156501832 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
1290 |
Number Of Medicare Beneficiaries |
371 |
Total Submitted Charge Amount |
308852 |
Total Medicare Allowed Amount |
103896.61 |
Total Medicare Payment Amount |
73952.87 |
Total Medicare Standardized Payment Amount |
78714.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
106 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
7126 |
Total Drug Medicare AllowedAmount |
4637.4 |
Total Drug Medicare PaymentAmount |
3600.76 |
Total Drug Medicare Standardized Payment Amount |
3600.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
1184 |
Number Of Medicare Beneficiaries With Medical Services |
371 |
Total Medical Submitted Charge Amount |
301726 |
Total Medical Medicare Allowed Amount |
99259.21 |
Total Medical Medicare Payment Amount |
70352.11 |
Total Medical Medicare Standardized Payment Amount |
75113.79 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
110 |
Number Of Beneficiaries Age 75 to 84 |
103 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
187 |
Number Of Male Beneficiaries |
184 |
Number Of Non Hispanic White Beneficiaries |
355 |
Number Of Black or African American Beneficiaries |
|
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 |
322 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
49 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6333 |