National Provider Identifier [NPI]: |
1730290180 |
Last Name Of The Provider |
CASALE |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 PLAZA CT |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
EAST STROUDSBURG |
Zip Code Of The Provider |
183018258 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
5157 |
Number Of Medicare Beneficiaries |
715 |
Total Submitted Charge Amount |
733120 |
Total Medicare Allowed Amount |
313758.17 |
Total Medicare Payment Amount |
226572.61 |
Total Medicare Standardized Payment Amount |
239879.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
47 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
1410 |
Total Drug Medicare AllowedAmount |
723.36 |
Total Drug Medicare PaymentAmount |
693.71 |
Total Drug Medicare Standardized Payment Amount |
693.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
5110 |
Number Of Medicare Beneficiaries With Medical Services |
715 |
Total Medical Submitted Charge Amount |
731710 |
Total Medical Medicare Allowed Amount |
313034.81 |
Total Medical Medicare Payment Amount |
225878.9 |
Total Medical Medicare Standardized Payment Amount |
239185.36 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
141 |
Number Of Beneficiaries Age 65 to 74 |
269 |
Number Of Beneficiaries Age 75 to 84 |
222 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
304 |
Number Of Male Beneficiaries |
411 |
Number Of Non Hispanic White Beneficiaries |
543 |
Number Of Black or African American Beneficiaries |
101 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
586 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
129 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
3.358 |