National Provider Identifier [NPI]: |
1609078427 |
Last Name Of The Provider |
HO |
First Name Of The Provider |
LAWRENCE |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
220 GRANDVIEW AVE |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
CAMP HILL |
Zip Code Of The Provider |
170111740 |
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 |
47 |
Number Of Services |
11537 |
Number Of Medicare Beneficiaries |
942 |
Total Submitted Charge Amount |
4056029.77 |
Total Medicare Allowed Amount |
2857506.11 |
Total Medicare Payment Amount |
2195231.86 |
Total Medicare Standardized Payment Amount |
2218780.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
5778 |
Number Of Medicare Beneficiaries With Drug Services |
373 |
Total Drug Submitted ChargeAmount |
2910580 |
Total Drug Medicare AllowedAmount |
2321237.24 |
Total Drug Medicare PaymentAmount |
1801987.36 |
Total Drug Medicare Standardized Payment Amount |
1801987.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
5759 |
Number Of Medicare Beneficiaries With Medical Services |
942 |
Total Medical Submitted Charge Amount |
1145449.77 |
Total Medical Medicare Allowed Amount |
536268.87 |
Total Medical Medicare Payment Amount |
393244.5 |
Total Medical Medicare Standardized Payment Amount |
416792.86 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
280 |
Number Of Beneficiaries Age 75 to 84 |
327 |
Number Of Beneficiaries Age Greater 84 |
294 |
Number Of Female Beneficiaries |
558 |
Number Of Male Beneficiaries |
384 |
Number Of Non Hispanic White Beneficiaries |
895 |
Number Of Black or African American Beneficiaries |
19 |
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 |
863 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
79 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3606 |