National Provider Identifier [NPI]: |
1932331873 |
Last Name Of The Provider |
JOSEPH |
First Name Of The Provider |
GISELLE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1575 BANNISTER ST |
Street Address 2 Of The Provider |
STE 1 |
City Of The Provider |
YORK |
Zip Code Of The Provider |
174044946 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
1763 |
Number Of Medicare Beneficiaries |
410 |
Total Submitted Charge Amount |
181862 |
Total Medicare Allowed Amount |
145547.92 |
Total Medicare Payment Amount |
103832.16 |
Total Medicare Standardized Payment Amount |
98939.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
195 |
Number Of Medicare Beneficiaries With Drug Services |
117 |
Total Drug Submitted ChargeAmount |
5268 |
Total Drug Medicare AllowedAmount |
4433.01 |
Total Drug Medicare PaymentAmount |
4313.14 |
Total Drug Medicare Standardized Payment Amount |
4313.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
1568 |
Number Of Medicare Beneficiaries With Medical Services |
410 |
Total Medical Submitted Charge Amount |
176594 |
Total Medical Medicare Allowed Amount |
141114.91 |
Total Medical Medicare Payment Amount |
99519.02 |
Total Medical Medicare Standardized Payment Amount |
94626.4 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
128 |
Number Of Beneficiaries Age 75 to 84 |
115 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
247 |
Number Of Male Beneficiaries |
163 |
Number Of Non Hispanic White Beneficiaries |
324 |
Number Of Black or African American Beneficiaries |
56 |
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 |
292 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
118 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.5205 |