National Provider Identifier [NPI]: |
1407834799 |
Last Name Of The Provider |
KROEMER |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
155 E STATE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALBION |
Zip Code Of The Provider |
164011347 |
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 |
30 |
Number Of Services |
942 |
Number Of Medicare Beneficiaries |
176 |
Total Submitted Charge Amount |
74141 |
Total Medicare Allowed Amount |
50671.53 |
Total Medicare Payment Amount |
33531.75 |
Total Medicare Standardized Payment Amount |
35580.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
124 |
Number Of Medicare Beneficiaries With Drug Services |
109 |
Total Drug Submitted ChargeAmount |
4927 |
Total Drug Medicare AllowedAmount |
3945.54 |
Total Drug Medicare PaymentAmount |
3852.59 |
Total Drug Medicare Standardized Payment Amount |
3852.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
818 |
Number Of Medicare Beneficiaries With Medical Services |
176 |
Total Medical Submitted Charge Amount |
69214 |
Total Medical Medicare Allowed Amount |
46725.99 |
Total Medical Medicare Payment Amount |
29679.16 |
Total Medical Medicare Standardized Payment Amount |
31728.3 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
85 |
Number Of Beneficiaries Age 75 to 84 |
52 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
88 |
Number Of Male Beneficiaries |
88 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
150 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8845 |