National Provider Identifier [NPI]: |
1770570798 |
Last Name Of The Provider |
AMSTER |
First Name Of The Provider |
MELANIE |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1216 ARCH ST |
Street Address 2 Of The Provider |
SUITE 3B |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191072835 |
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 |
61 |
Number Of Services |
2012 |
Number Of Medicare Beneficiaries |
450 |
Total Submitted Charge Amount |
610948 |
Total Medicare Allowed Amount |
206984.33 |
Total Medicare Payment Amount |
153049.57 |
Total Medicare Standardized Payment Amount |
146749.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
35 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
15065 |
Total Drug Medicare AllowedAmount |
5380.16 |
Total Drug Medicare PaymentAmount |
4145.09 |
Total Drug Medicare Standardized Payment Amount |
4145.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
1977 |
Number Of Medicare Beneficiaries With Medical Services |
450 |
Total Medical Submitted Charge Amount |
595883 |
Total Medical Medicare Allowed Amount |
201604.17 |
Total Medical Medicare Payment Amount |
148904.48 |
Total Medical Medicare Standardized Payment Amount |
142604.76 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
134 |
Number Of Beneficiaries Age 65 to 74 |
192 |
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
46 |
Number Of Female Beneficiaries |
207 |
Number Of Male Beneficiaries |
243 |
Number Of Non Hispanic White Beneficiaries |
221 |
Number Of Black or African American Beneficiaries |
192 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
292 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
158 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.2973 |