National Provider Identifier [NPI]: |
1003918475 |
Last Name Of The Provider |
PEAIRS |
First Name Of The Provider |
RANDALL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 MIFFLIN AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SCRANTON |
Zip Code Of The Provider |
18503 |
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 |
44 |
Number Of Services |
23470 |
Number Of Medicare Beneficiaries |
1670 |
Total Submitted Charge Amount |
8584146 |
Total Medicare Allowed Amount |
5642034.56 |
Total Medicare Payment Amount |
4372477.51 |
Total Medicare Standardized Payment Amount |
4359070.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
12127 |
Number Of Medicare Beneficiaries With Drug Services |
805 |
Total Drug Submitted ChargeAmount |
5201951 |
Total Drug Medicare AllowedAmount |
4573773.64 |
Total Drug Medicare PaymentAmount |
3583528.41 |
Total Drug Medicare Standardized Payment Amount |
3583528.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
11343 |
Number Of Medicare Beneficiaries With Medical Services |
1670 |
Total Medical Submitted Charge Amount |
3382195 |
Total Medical Medicare Allowed Amount |
1068260.92 |
Total Medical Medicare Payment Amount |
788949.1 |
Total Medical Medicare Standardized Payment Amount |
775542.2 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
126 |
Number Of Beneficiaries Age 65 to 74 |
454 |
Number Of Beneficiaries Age 75 to 84 |
597 |
Number Of Beneficiaries Age Greater 84 |
493 |
Number Of Female Beneficiaries |
994 |
Number Of Male Beneficiaries |
676 |
Number Of Non Hispanic White Beneficiaries |
1615 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1431 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
239 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5593 |