National Provider Identifier [NPI]: |
1538151899 |
Last Name Of The Provider |
BATTISTELLA |
First Name Of The Provider |
GENE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
27 HECKEL RD |
Street Address 2 Of The Provider |
SUITE 212 |
City Of The Provider |
MC KEES ROCKS |
Zip Code Of The Provider |
151361673 |
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 |
36 |
Number Of Services |
1592 |
Number Of Medicare Beneficiaries |
249 |
Total Submitted Charge Amount |
206543 |
Total Medicare Allowed Amount |
142903.35 |
Total Medicare Payment Amount |
105670.05 |
Total Medicare Standardized Payment Amount |
112119.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
125 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
2165 |
Total Drug Medicare AllowedAmount |
1214.43 |
Total Drug Medicare PaymentAmount |
1132.86 |
Total Drug Medicare Standardized Payment Amount |
1132.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
1467 |
Number Of Medicare Beneficiaries With Medical Services |
249 |
Total Medical Submitted Charge Amount |
204378 |
Total Medical Medicare Allowed Amount |
141688.92 |
Total Medical Medicare Payment Amount |
104537.19 |
Total Medical Medicare Standardized Payment Amount |
110987.07 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
66 |
Number Of Beneficiaries Age 75 to 84 |
56 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
135 |
Number Of Male Beneficiaries |
114 |
Number Of Non Hispanic White Beneficiaries |
233 |
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 |
205 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
44 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7732 |