Medicare Facts for Dr. Robert A. Scalia, DO


National Provider Identifier [NPI]: 1225021439
Last Name Of The Provider SCALIA
First Name Of The Provider ROBERT
Middle Initial Of The Provider A
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 35 TREMONT RD
Street Address 2 Of The Provider
City Of The Provider PINE GROVE
Zip Code Of The Provider 179638629
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 46
Number Of Services 2500
Number Of Medicare Beneficiaries 238
Total Submitted Charge Amount 252893
Total Medicare Allowed Amount 132961.23
Total Medicare Payment Amount 94946.9
Total Medicare Standardized Payment Amount 99788.1
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 130
Number Of Medicare Beneficiaries With Drug Services 108
Total Drug Submitted ChargeAmount 4069
Total Drug Medicare AllowedAmount 2174.53
Total Drug Medicare PaymentAmount 2120.94
Total Drug Medicare Standardized Payment Amount 2120.94
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 41
Number Of Medical Services 2370
Number Of Medicare Beneficiaries With Medical Services 238
Total Medical Submitted Charge Amount 248824
Total Medical Medicare Allowed Amount 130786.7
Total Medical Medicare Payment Amount 92825.96
Total Medical Medicare Standardized Payment Amount 97667.16
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 71
Number Of Beneficiaries Age 65 to 74 86
Number Of Beneficiaries Age 75 to 84 55
Number Of Beneficiaries Age Greater 84 26
Number Of Female Beneficiaries 143
Number Of Male Beneficiaries 95
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 177
Number Of Beneficiaries With Medicare Medicaid Entitlement 61
Percent Of With Atrial Fibrillation 5
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 7
Percent Of With Cancer 8
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 11
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 23
Percent Of With Diabetes 26
Percent Of With Hyperlipidemia 56
Percent Of With Hypertension 62
Percent Of With Ischemic Heart Disease 28
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 29
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9496

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