National Provider Identifier [NPI]: |
1194833590 |
Last Name Of The Provider |
FARBER |
First Name Of The Provider |
HAROLD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D, |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9892 BUSTLETON AVENUE |
Street Address 2 Of The Provider |
STE 204 MOSS PLAZA |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
19115 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
9306 |
Number Of Medicare Beneficiaries |
452 |
Total Submitted Charge Amount |
938952.33 |
Total Medicare Allowed Amount |
633567.18 |
Total Medicare Payment Amount |
491204.95 |
Total Medicare Standardized Payment Amount |
460479.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1136 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
121138 |
Total Drug Medicare AllowedAmount |
72469.35 |
Total Drug Medicare PaymentAmount |
56792.69 |
Total Drug Medicare Standardized Payment Amount |
56792.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
8170 |
Number Of Medicare Beneficiaries With Medical Services |
452 |
Total Medical Submitted Charge Amount |
817814.33 |
Total Medical Medicare Allowed Amount |
561097.83 |
Total Medical Medicare Payment Amount |
434412.26 |
Total Medical Medicare Standardized Payment Amount |
403686.82 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
191 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
263 |
Number Of Male Beneficiaries |
189 |
Number Of Non Hispanic White Beneficiaries |
389 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
282 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
170 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2198 |