National Provider Identifier [NPI]: |
1285666347 |
Last Name Of The Provider |
JAROWENKO |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2106 HARRISBURG PIKE |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
176013200 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
4416 |
Number Of Medicare Beneficiaries |
685 |
Total Submitted Charge Amount |
433427.5 |
Total Medicare Allowed Amount |
155109.85 |
Total Medicare Payment Amount |
115950.68 |
Total Medicare Standardized Payment Amount |
120622.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2022 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
25850 |
Total Drug Medicare AllowedAmount |
8301.39 |
Total Drug Medicare PaymentAmount |
5518.61 |
Total Drug Medicare Standardized Payment Amount |
5518.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
2394 |
Number Of Medicare Beneficiaries With Medical Services |
685 |
Total Medical Submitted Charge Amount |
407577.5 |
Total Medical Medicare Allowed Amount |
146808.46 |
Total Medical Medicare Payment Amount |
110432.07 |
Total Medical Medicare Standardized Payment Amount |
115104.02 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
277 |
Number Of Beneficiaries Age 75 to 84 |
243 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
144 |
Number Of Male Beneficiaries |
541 |
Number Of Non Hispanic White Beneficiaries |
646 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
622 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
29 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3295 |