National Provider Identifier [NPI]: |
1649226184 |
Last Name Of The Provider |
MARHEFKA |
First Name Of The Provider |
GREGARY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
925 CHESTNUT ST |
Street Address 2 Of The Provider |
MEZZANINE FLOOR |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191074216 |
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 |
44 |
Number Of Services |
2457 |
Number Of Medicare Beneficiaries |
1102 |
Total Submitted Charge Amount |
469346 |
Total Medicare Allowed Amount |
200326.5 |
Total Medicare Payment Amount |
153712.87 |
Total Medicare Standardized Payment Amount |
141146.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
2457 |
Number Of Medicare Beneficiaries With Medical Services |
1102 |
Total Medical Submitted Charge Amount |
469346 |
Total Medical Medicare Allowed Amount |
200326.5 |
Total Medical Medicare Payment Amount |
153712.87 |
Total Medical Medicare Standardized Payment Amount |
141146.39 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
215 |
Number Of Beneficiaries Age 65 to 74 |
422 |
Number Of Beneficiaries Age 75 to 84 |
310 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
504 |
Number Of Male Beneficiaries |
598 |
Number Of Non Hispanic White Beneficiaries |
794 |
Number Of Black or African American Beneficiaries |
232 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
827 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
275 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.4257 |