National Provider Identifier [NPI]: |
1720084296 |
Last Name Of The Provider |
JALIL |
First Name Of The Provider |
LILIAN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1235 OLD YORK RD |
Street Address 2 Of The Provider |
STE 113 |
City Of The Provider |
ABINGTON |
Zip Code Of The Provider |
190013840 |
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 |
48 |
Number Of Services |
2374 |
Number Of Medicare Beneficiaries |
537 |
Total Submitted Charge Amount |
337606 |
Total Medicare Allowed Amount |
235152.4 |
Total Medicare Payment Amount |
181446.82 |
Total Medicare Standardized Payment Amount |
172444.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
99 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
4079 |
Total Drug Medicare AllowedAmount |
3129.52 |
Total Drug Medicare PaymentAmount |
3055.98 |
Total Drug Medicare Standardized Payment Amount |
3055.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
2275 |
Number Of Medicare Beneficiaries With Medical Services |
537 |
Total Medical Submitted Charge Amount |
333527 |
Total Medical Medicare Allowed Amount |
232022.88 |
Total Medical Medicare Payment Amount |
178390.84 |
Total Medical Medicare Standardized Payment Amount |
169388.29 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
187 |
Number Of Beneficiaries Age 75 to 84 |
154 |
Number Of Beneficiaries Age Greater 84 |
166 |
Number Of Female Beneficiaries |
362 |
Number Of Male Beneficiaries |
175 |
Number Of Non Hispanic White Beneficiaries |
481 |
Number Of Black or African American Beneficiaries |
42 |
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 |
491 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
46 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
25 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
1.5445 |