| National Provider Identifier [NPI]: | 1780632570 |
| Last Name Of The Provider | VANDER |
| First Name Of The Provider | JAMES |
| Middle Initial Of The Provider | F |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4060 BUTLER PIKE |
| Street Address 2 Of The Provider | SUITE 200 |
| City Of The Provider | PLYMOUTH MEETING |
| Zip Code Of The Provider | 194621560 |
| State Code Of The Provider | PA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 44 |
| Number Of Services | 25539 |
| Number Of Medicare Beneficiaries | 1997 |
| Total Submitted Charge Amount | 15909651.56 |
| Total Medicare Allowed Amount | 6607433.49 |
| Total Medicare Payment Amount | 5124723.61 |
| Total Medicare Standardized Payment Amount | 5041348.92 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 13633 |
| Number Of Medicare Beneficiaries With Drug Services | 589 |
| Total Drug Submitted ChargeAmount | 12188149 |
| Total Drug Medicare AllowedAmount | 5316292.66 |
| Total Drug Medicare PaymentAmount | 4162463.88 |
| Total Drug Medicare Standardized Payment Amount | 4162463.88 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 38 |
| Number Of Medical Services | 11906 |
| Number Of Medicare Beneficiaries With Medical Services | 1997 |
| Total Medical Submitted Charge Amount | 3721502.56 |
| Total Medical Medicare Allowed Amount | 1291140.83 |
| Total Medical Medicare Payment Amount | 962259.73 |
| Total Medical Medicare Standardized Payment Amount | 878885.04 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 118 |
| Number Of Beneficiaries Age 65 to 74 | 712 |
| Number Of Beneficiaries Age 75 to 84 | 645 |
| Number Of Beneficiaries Age Greater 84 | 522 |
| Number Of Female Beneficiaries | 1229 |
| Number Of Male Beneficiaries | 768 |
| Number Of Non Hispanic White Beneficiaries | 1746 |
| Number Of Black or African American Beneficiaries | 148 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 48 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 37 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1833 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 164 |
| 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 | 20 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 12 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.4641 |