National Provider Identifier [NPI]: |
1669402822 |
Last Name Of The Provider |
TWERSKY |
First Name Of The Provider |
HARRIS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
402 LIPPINCOTT DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MARLTON |
Zip Code Of The Provider |
080534112 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
1669 |
Number Of Medicare Beneficiaries |
264 |
Total Submitted Charge Amount |
187140 |
Total Medicare Allowed Amount |
101170.26 |
Total Medicare Payment Amount |
71997.85 |
Total Medicare Standardized Payment Amount |
67455.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
145 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
9025 |
Total Drug Medicare AllowedAmount |
3549.64 |
Total Drug Medicare PaymentAmount |
3270.84 |
Total Drug Medicare Standardized Payment Amount |
3270.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1524 |
Number Of Medicare Beneficiaries With Medical Services |
264 |
Total Medical Submitted Charge Amount |
178115 |
Total Medical Medicare Allowed Amount |
97620.62 |
Total Medical Medicare Payment Amount |
68727.01 |
Total Medical Medicare Standardized Payment Amount |
64184.28 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
131 |
Number Of Beneficiaries Age 75 to 84 |
48 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
138 |
Number Of Male Beneficiaries |
126 |
Number Of Non Hispanic White Beneficiaries |
202 |
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 |
217 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0726 |