National Provider Identifier [NPI]: |
1720032675 |
Last Name Of The Provider |
ARIAS |
First Name Of The Provider |
ERCILIA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 SAVANNAH RD |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
LEWES |
Zip Code Of The Provider |
199581499 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
2587 |
Number Of Medicare Beneficiaries |
968 |
Total Submitted Charge Amount |
525981 |
Total Medicare Allowed Amount |
230502.56 |
Total Medicare Payment Amount |
174599.67 |
Total Medicare Standardized Payment Amount |
173536.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
42 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
747 |
Total Drug Medicare AllowedAmount |
638.69 |
Total Drug Medicare PaymentAmount |
604.08 |
Total Drug Medicare Standardized Payment Amount |
604.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
2545 |
Number Of Medicare Beneficiaries With Medical Services |
968 |
Total Medical Submitted Charge Amount |
525234 |
Total Medical Medicare Allowed Amount |
229863.87 |
Total Medical Medicare Payment Amount |
173995.59 |
Total Medical Medicare Standardized Payment Amount |
172932.41 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
85 |
Number Of Beneficiaries Age 65 to 74 |
465 |
Number Of Beneficiaries Age 75 to 84 |
331 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
518 |
Number Of Male Beneficiaries |
450 |
Number Of Non Hispanic White Beneficiaries |
895 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
836 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
132 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
54 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7529 |