National Provider Identifier [NPI]: |
1760449367 |
Last Name Of The Provider |
BIESTER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2401 E EVESHAM RD |
Street Address 2 Of The Provider |
SUITE F |
City Of The Provider |
VOORHEES |
Zip Code Of The Provider |
080439590 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
5225 |
Number Of Medicare Beneficiaries |
1287 |
Total Submitted Charge Amount |
737317.09 |
Total Medicare Allowed Amount |
388831.31 |
Total Medicare Payment Amount |
290448.26 |
Total Medicare Standardized Payment Amount |
275334.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
632 |
Number Of Medicare Beneficiaries With Drug Services |
40 |
Total Drug Submitted ChargeAmount |
186747.55 |
Total Drug Medicare AllowedAmount |
48928.06 |
Total Drug Medicare PaymentAmount |
37768.99 |
Total Drug Medicare Standardized Payment Amount |
37768.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
4593 |
Number Of Medicare Beneficiaries With Medical Services |
1287 |
Total Medical Submitted Charge Amount |
550569.54 |
Total Medical Medicare Allowed Amount |
339903.25 |
Total Medical Medicare Payment Amount |
252679.27 |
Total Medical Medicare Standardized Payment Amount |
237565.46 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
458 |
Number Of Beneficiaries Age 75 to 84 |
431 |
Number Of Beneficiaries Age Greater 84 |
293 |
Number Of Female Beneficiaries |
373 |
Number Of Male Beneficiaries |
914 |
Number Of Non Hispanic White Beneficiaries |
1110 |
Number Of Black or African American Beneficiaries |
110 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1134 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
153 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5976 |