National Provider Identifier [NPI]: |
1477523934 |
Last Name Of The Provider |
BRNDJAR |
First Name Of The Provider |
JON |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1230 S CEDAR CREST BLVD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
ALLENTOWN |
Zip Code Of The Provider |
181036367 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
1557 |
Number Of Medicare Beneficiaries |
536 |
Total Submitted Charge Amount |
251765 |
Total Medicare Allowed Amount |
130026.55 |
Total Medicare Payment Amount |
92931.49 |
Total Medicare Standardized Payment Amount |
97065.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
148 |
Number Of Medicare Beneficiaries With Drug Services |
124 |
Total Drug Submitted ChargeAmount |
5960 |
Total Drug Medicare AllowedAmount |
4682.75 |
Total Drug Medicare PaymentAmount |
4545.34 |
Total Drug Medicare Standardized Payment Amount |
4545.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
1409 |
Number Of Medicare Beneficiaries With Medical Services |
536 |
Total Medical Submitted Charge Amount |
245805 |
Total Medical Medicare Allowed Amount |
125343.8 |
Total Medical Medicare Payment Amount |
88386.15 |
Total Medical Medicare Standardized Payment Amount |
92520.52 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
224 |
Number Of Beneficiaries Age 75 to 84 |
158 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
295 |
Number Of Male Beneficiaries |
241 |
Number Of Non Hispanic White Beneficiaries |
502 |
Number Of Black or African American Beneficiaries |
15 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
486 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4434 |