National Provider Identifier [NPI]: |
1306831920 |
Last Name Of The Provider |
DALONI |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2400 HIGHLAND RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HERMITAGE |
Zip Code Of The Provider |
161482868 |
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 |
95 |
Number Of Services |
4153 |
Number Of Medicare Beneficiaries |
992 |
Total Submitted Charge Amount |
812860.3 |
Total Medicare Allowed Amount |
278101.83 |
Total Medicare Payment Amount |
209436.87 |
Total Medicare Standardized Payment Amount |
217027.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1095 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
129651 |
Total Drug Medicare AllowedAmount |
42559.5 |
Total Drug Medicare PaymentAmount |
33251.44 |
Total Drug Medicare Standardized Payment Amount |
33251.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
3058 |
Number Of Medicare Beneficiaries With Medical Services |
992 |
Total Medical Submitted Charge Amount |
683209.3 |
Total Medical Medicare Allowed Amount |
235542.33 |
Total Medical Medicare Payment Amount |
176185.43 |
Total Medical Medicare Standardized Payment Amount |
183775.88 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
341 |
Number Of Beneficiaries Age 75 to 84 |
308 |
Number Of Beneficiaries Age Greater 84 |
207 |
Number Of Female Beneficiaries |
334 |
Number Of Male Beneficiaries |
658 |
Number Of Non Hispanic White Beneficiaries |
917 |
Number Of Black or African American Beneficiaries |
56 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
805 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
187 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4567 |