National Provider Identifier [NPI]: |
1124080817 |
Last Name Of The Provider |
KLIGER |
First Name Of The Provider |
MORRIS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1019 S BROAD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LANSDALE |
Zip Code Of The Provider |
194465338 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
1775 |
Number Of Medicare Beneficiaries |
520 |
Total Submitted Charge Amount |
158474.58 |
Total Medicare Allowed Amount |
132259.42 |
Total Medicare Payment Amount |
106059.67 |
Total Medicare Standardized Payment Amount |
101765 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
336 |
Number Of Medicare Beneficiaries With Drug Services |
262 |
Total Drug Submitted ChargeAmount |
25169 |
Total Drug Medicare AllowedAmount |
21776.77 |
Total Drug Medicare PaymentAmount |
21327.6 |
Total Drug Medicare Standardized Payment Amount |
21327.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
1439 |
Number Of Medicare Beneficiaries With Medical Services |
520 |
Total Medical Submitted Charge Amount |
133305.58 |
Total Medical Medicare Allowed Amount |
110482.65 |
Total Medical Medicare Payment Amount |
84732.07 |
Total Medical Medicare Standardized Payment Amount |
80437.4 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
302 |
Number Of Beneficiaries Age 75 to 84 |
129 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
253 |
Number Of Male Beneficiaries |
267 |
Number Of Non Hispanic White Beneficiaries |
450 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
476 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
44 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8241 |