National Provider Identifier [NPI]: |
1770550766 |
Last Name Of The Provider |
MORO |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
150 BROOKLYN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
CARBONDALE |
Zip Code Of The Provider |
184072274 |
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 |
57 |
Number Of Services |
4951 |
Number Of Medicare Beneficiaries |
480 |
Total Submitted Charge Amount |
452609 |
Total Medicare Allowed Amount |
254931.42 |
Total Medicare Payment Amount |
182675.14 |
Total Medicare Standardized Payment Amount |
190067.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
724 |
Number Of Medicare Beneficiaries With Drug Services |
339 |
Total Drug Submitted ChargeAmount |
22425 |
Total Drug Medicare AllowedAmount |
9744.34 |
Total Drug Medicare PaymentAmount |
8943.53 |
Total Drug Medicare Standardized Payment Amount |
8943.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
4227 |
Number Of Medicare Beneficiaries With Medical Services |
480 |
Total Medical Submitted Charge Amount |
430184 |
Total Medical Medicare Allowed Amount |
245187.08 |
Total Medical Medicare Payment Amount |
173731.61 |
Total Medical Medicare Standardized Payment Amount |
181123.99 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
193 |
Number Of Beneficiaries Age 75 to 84 |
150 |
Number Of Beneficiaries Age Greater 84 |
93 |
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
216 |
Number Of Non Hispanic White Beneficiaries |
465 |
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 |
412 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1122 |