National Provider Identifier [NPI]: |
1851346472 |
Last Name Of The Provider |
YOUSSEF |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
825 TOWN CENTER DRIVE |
Street Address 2 Of The Provider |
SUITE 148 |
City Of The Provider |
LANGHORNE |
Zip Code Of The Provider |
19047 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
98 |
Number Of Services |
135132 |
Number Of Medicare Beneficiaries |
638 |
Total Submitted Charge Amount |
2475749.01 |
Total Medicare Allowed Amount |
1435426.09 |
Total Medicare Payment Amount |
1101231.29 |
Total Medicare Standardized Payment Amount |
1088230.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
64 |
Number Of Drug Services |
132390 |
Number Of Medicare Beneficiaries With Drug Services |
251 |
Total Drug Submitted ChargeAmount |
2101678 |
Total Drug Medicare AllowedAmount |
1229570.56 |
Total Drug Medicare PaymentAmount |
947699.11 |
Total Drug Medicare Standardized Payment Amount |
947699.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
2742 |
Number Of Medicare Beneficiaries With Medical Services |
638 |
Total Medical Submitted Charge Amount |
374071.01 |
Total Medical Medicare Allowed Amount |
205855.53 |
Total Medical Medicare Payment Amount |
153532.18 |
Total Medical Medicare Standardized Payment Amount |
140531.31 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
108 |
Number Of Beneficiaries Age 65 to 74 |
246 |
Number Of Beneficiaries Age 75 to 84 |
182 |
Number Of Beneficiaries Age Greater 84 |
102 |
Number Of Female Beneficiaries |
352 |
Number Of Male Beneficiaries |
286 |
Number Of Non Hispanic White Beneficiaries |
571 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
552 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
30 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8871 |