National Provider Identifier [NPI]: |
1730285651 |
Last Name Of The Provider |
SCIMECA |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
225 SUNSET RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WILLINGBORO |
Zip Code Of The Provider |
080461109 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
7064 |
Number Of Medicare Beneficiaries |
2000 |
Total Submitted Charge Amount |
4067595 |
Total Medicare Allowed Amount |
1366146.58 |
Total Medicare Payment Amount |
1034924 |
Total Medicare Standardized Payment Amount |
970313.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1029 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
104900 |
Total Drug Medicare AllowedAmount |
68294.21 |
Total Drug Medicare PaymentAmount |
53542.61 |
Total Drug Medicare Standardized Payment Amount |
53542.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
6035 |
Number Of Medicare Beneficiaries With Medical Services |
1960 |
Total Medical Submitted Charge Amount |
3962695 |
Total Medical Medicare Allowed Amount |
1297852.37 |
Total Medical Medicare Payment Amount |
981381.39 |
Total Medical Medicare Standardized Payment Amount |
916770.44 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
739 |
Number Of Beneficiaries Age 75 to 84 |
798 |
Number Of Beneficiaries Age Greater 84 |
339 |
Number Of Female Beneficiaries |
1218 |
Number Of Male Beneficiaries |
782 |
Number Of Non Hispanic White Beneficiaries |
1391 |
Number Of Black or African American Beneficiaries |
476 |
Number Of AsianPacific Islander Beneficiaries |
36 |
Number Of Hispanic Beneficiaries |
69 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
1713 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
287 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3016 |