National Provider Identifier [NPI]: |
1972556207 |
Last Name Of The Provider |
GELERNT |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
210 W ATLANTIC AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HADDON HEIGHTS |
Zip Code Of The Provider |
080351715 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
11223 |
Number Of Medicare Beneficiaries |
2449 |
Total Submitted Charge Amount |
1321880.82 |
Total Medicare Allowed Amount |
664509.28 |
Total Medicare Payment Amount |
497547.94 |
Total Medicare Standardized Payment Amount |
465771.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4368 |
Number Of Medicare Beneficiaries With Drug Services |
97 |
Total Drug Submitted ChargeAmount |
18574.76 |
Total Drug Medicare AllowedAmount |
17562.83 |
Total Drug Medicare PaymentAmount |
13286.91 |
Total Drug Medicare Standardized Payment Amount |
13286.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
6855 |
Number Of Medicare Beneficiaries With Medical Services |
2447 |
Total Medical Submitted Charge Amount |
1303306.06 |
Total Medical Medicare Allowed Amount |
646946.45 |
Total Medical Medicare Payment Amount |
484261.03 |
Total Medical Medicare Standardized Payment Amount |
452484.69 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
390 |
Number Of Beneficiaries Age 65 to 74 |
832 |
Number Of Beneficiaries Age 75 to 84 |
755 |
Number Of Beneficiaries Age Greater 84 |
472 |
Number Of Female Beneficiaries |
1274 |
Number Of Male Beneficiaries |
1175 |
Number Of Non Hispanic White Beneficiaries |
1902 |
Number Of Black or African American Beneficiaries |
325 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
192 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1943 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
506 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
1.9158 |