| National Provider Identifier [NPI]: | 1720034887 |
| Last Name Of The Provider | BLUESTEIN |
| First Name Of The Provider | HAZEL |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 450 CRESSON BLVD |
| Street Address 2 Of The Provider | SUITE 110 |
| City Of The Provider | OAKS |
| Zip Code Of The Provider | 19456 |
| 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 | 134 |
| Number Of Services | 6618 |
| Number Of Medicare Beneficiaries | 2551 |
| Total Submitted Charge Amount | 750407.79 |
| Total Medicare Allowed Amount | 440571.93 |
| Total Medicare Payment Amount | 317804.99 |
| Total Medicare Standardized Payment Amount | 304510.96 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 21 |
| Number Of Drug Services | 795 |
| Number Of Medicare Beneficiaries With Drug Services | 369 |
| Total Drug Submitted ChargeAmount | 16819.85 |
| Total Drug Medicare AllowedAmount | 4853.71 |
| Total Drug Medicare PaymentAmount | 3784.54 |
| Total Drug Medicare Standardized Payment Amount | 3784.54 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 113 |
| Number Of Medical Services | 5823 |
| Number Of Medicare Beneficiaries With Medical Services | 2550 |
| Total Medical Submitted Charge Amount | 733587.94 |
| Total Medical Medicare Allowed Amount | 435718.22 |
| Total Medical Medicare Payment Amount | 314020.45 |
| Total Medical Medicare Standardized Payment Amount | 300726.42 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 330 |
| Number Of Beneficiaries Age 65 to 74 | 1214 |
| Number Of Beneficiaries Age 75 to 84 | 719 |
| Number Of Beneficiaries Age Greater 84 | 288 |
| Number Of Female Beneficiaries | 1596 |
| Number Of Male Beneficiaries | 955 |
| Number Of Non Hispanic White Beneficiaries | 2363 |
| Number Of Black or African American Beneficiaries | 72 |
| Number Of AsianPacific Islander Beneficiaries | 26 |
| Number Of Hispanic Beneficiaries | 39 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 51 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2299 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 252 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 15 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 23 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 60 |
| Percent Of With Ischemic Heart Disease | 29 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 0.9614 |