National Provider Identifier [NPI]: |
1922056530 |
Last Name Of The Provider |
DEANGELO |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
180 FORT COUCH RD |
Street Address 2 Of The Provider |
SUITE 375 |
City Of The Provider |
PITTSBURGH |
Zip Code Of The Provider |
152411041 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Allergy/Immunology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
2025 |
Number Of Medicare Beneficiaries |
118 |
Total Submitted Charge Amount |
62621.2 |
Total Medicare Allowed Amount |
51356.92 |
Total Medicare Payment Amount |
38551.24 |
Total Medicare Standardized Payment Amount |
38792.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1046 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
31133 |
Total Drug Medicare AllowedAmount |
27982.43 |
Total Drug Medicare PaymentAmount |
22005.77 |
Total Drug Medicare Standardized Payment Amount |
22005.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
979 |
Number Of Medicare Beneficiaries With Medical Services |
118 |
Total Medical Submitted Charge Amount |
31488.2 |
Total Medical Medicare Allowed Amount |
23374.49 |
Total Medical Medicare Payment Amount |
16545.47 |
Total Medical Medicare Standardized Payment Amount |
16786.84 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
67 |
Number Of Beneficiaries Age 75 to 84 |
24 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
88 |
Number Of Male Beneficiaries |
30 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
43 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9135 |