National Provider Identifier [NPI]: |
1780682278 |
Last Name Of The Provider |
HOROWITZ |
First Name Of The Provider |
IRA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
107 BERLIN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHERRY HILL |
Zip Code Of The Provider |
080343526 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
4729 |
Number Of Medicare Beneficiaries |
1710 |
Total Submitted Charge Amount |
531060 |
Total Medicare Allowed Amount |
409017.63 |
Total Medicare Payment Amount |
316085.89 |
Total Medicare Standardized Payment Amount |
285241.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
271 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
2895 |
Total Drug Medicare AllowedAmount |
1385.47 |
Total Drug Medicare PaymentAmount |
1330.43 |
Total Drug Medicare Standardized Payment Amount |
1330.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
4458 |
Number Of Medicare Beneficiaries With Medical Services |
1710 |
Total Medical Submitted Charge Amount |
528165 |
Total Medical Medicare Allowed Amount |
407632.16 |
Total Medical Medicare Payment Amount |
314755.46 |
Total Medical Medicare Standardized Payment Amount |
283911.32 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
252 |
Number Of Beneficiaries Age 65 to 74 |
538 |
Number Of Beneficiaries Age 75 to 84 |
565 |
Number Of Beneficiaries Age Greater 84 |
355 |
Number Of Female Beneficiaries |
883 |
Number Of Male Beneficiaries |
827 |
Number Of Non Hispanic White Beneficiaries |
1353 |
Number Of Black or African American Beneficiaries |
239 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
71 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1306 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
404 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
26 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
64 |
Percent Of With Chronic Kidney Disease |
57 |
Percent Of With Chronic Obstructive Pulmonary Disease |
50 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.6255 |