National Provider Identifier [NPI]: |
1356340632 |
Last Name Of The Provider |
BARTELT |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
800 EATON AVE |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
BETHLEHEM |
Zip Code Of The Provider |
180181832 |
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 |
49 |
Number Of Services |
2516 |
Number Of Medicare Beneficiaries |
408 |
Total Submitted Charge Amount |
250503 |
Total Medicare Allowed Amount |
172082.91 |
Total Medicare Payment Amount |
135294.61 |
Total Medicare Standardized Payment Amount |
140381.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
446 |
Number Of Medicare Beneficiaries With Drug Services |
277 |
Total Drug Submitted ChargeAmount |
48270 |
Total Drug Medicare AllowedAmount |
31103.89 |
Total Drug Medicare PaymentAmount |
30435.97 |
Total Drug Medicare Standardized Payment Amount |
30435.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
2070 |
Number Of Medicare Beneficiaries With Medical Services |
408 |
Total Medical Submitted Charge Amount |
202233 |
Total Medical Medicare Allowed Amount |
140979.02 |
Total Medical Medicare Payment Amount |
104858.64 |
Total Medical Medicare Standardized Payment Amount |
109945.66 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
120 |
Number Of Beneficiaries Age 75 to 84 |
149 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
220 |
Number Of Male Beneficiaries |
188 |
Number Of Non Hispanic White Beneficiaries |
382 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
391 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1777 |