National Provider Identifier [NPI]: |
1609816297 |
Last Name Of The Provider |
GUZZO |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 S CEDAR CREST BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALLENTOWN |
Zip Code Of The Provider |
18103 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
1307 |
Number Of Medicare Beneficiaries |
796 |
Total Submitted Charge Amount |
422215.68 |
Total Medicare Allowed Amount |
135532.77 |
Total Medicare Payment Amount |
101334.5 |
Total Medicare Standardized Payment Amount |
102362.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1307 |
Number Of Medicare Beneficiaries With Medical Services |
796 |
Total Medical Submitted Charge Amount |
422215.68 |
Total Medical Medicare Allowed Amount |
135532.77 |
Total Medical Medicare Payment Amount |
101334.5 |
Total Medical Medicare Standardized Payment Amount |
102362.26 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
251 |
Number Of Beneficiaries Age 65 to 74 |
233 |
Number Of Beneficiaries Age 75 to 84 |
183 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
458 |
Number Of Male Beneficiaries |
338 |
Number Of Non Hispanic White Beneficiaries |
612 |
Number Of Black or African American Beneficiaries |
155 |
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 |
516 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
280 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0228 |