National Provider Identifier [NPI]: |
1013965276 |
Last Name Of The Provider |
FINEMAN |
First Name Of The Provider |
MITCHELL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4060 BUTLER PIKE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
PLYMOUTH MEETING |
Zip Code Of The Provider |
194621560 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
23845 |
Number Of Medicare Beneficiaries |
2036 |
Total Submitted Charge Amount |
15389912.25 |
Total Medicare Allowed Amount |
6279829.9 |
Total Medicare Payment Amount |
4862736.48 |
Total Medicare Standardized Payment Amount |
4810081.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
11540 |
Number Of Medicare Beneficiaries With Drug Services |
549 |
Total Drug Submitted ChargeAmount |
11543342 |
Total Drug Medicare AllowedAmount |
5001961.46 |
Total Drug Medicare PaymentAmount |
3914250.15 |
Total Drug Medicare Standardized Payment Amount |
3914250.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
12305 |
Number Of Medicare Beneficiaries With Medical Services |
2036 |
Total Medical Submitted Charge Amount |
3846570.25 |
Total Medical Medicare Allowed Amount |
1277868.44 |
Total Medical Medicare Payment Amount |
948486.33 |
Total Medical Medicare Standardized Payment Amount |
895831.72 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
745 |
Number Of Beneficiaries Age 75 to 84 |
658 |
Number Of Beneficiaries Age Greater 84 |
532 |
Number Of Female Beneficiaries |
1209 |
Number Of Male Beneficiaries |
827 |
Number Of Non Hispanic White Beneficiaries |
1832 |
Number Of Black or African American Beneficiaries |
106 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
1903 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
133 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4397 |