National Provider Identifier [NPI]: |
1083619407 |
Last Name Of The Provider |
TOKAREK |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1235 OLD YORK RD |
Street Address 2 Of The Provider |
STE 214 |
City Of The Provider |
ABINGTON |
Zip Code Of The Provider |
190013841 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
8016 |
Number Of Medicare Beneficiaries |
2065 |
Total Submitted Charge Amount |
907755 |
Total Medicare Allowed Amount |
507931.38 |
Total Medicare Payment Amount |
363999.95 |
Total Medicare Standardized Payment Amount |
339827.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
224 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
4480 |
Total Drug Medicare AllowedAmount |
401.95 |
Total Drug Medicare PaymentAmount |
260.8 |
Total Drug Medicare Standardized Payment Amount |
260.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
7792 |
Number Of Medicare Beneficiaries With Medical Services |
2065 |
Total Medical Submitted Charge Amount |
903275 |
Total Medical Medicare Allowed Amount |
507529.43 |
Total Medical Medicare Payment Amount |
363739.15 |
Total Medical Medicare Standardized Payment Amount |
339567.01 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
131 |
Number Of Beneficiaries Age 65 to 74 |
1016 |
Number Of Beneficiaries Age 75 to 84 |
618 |
Number Of Beneficiaries Age Greater 84 |
300 |
Number Of Female Beneficiaries |
973 |
Number Of Male Beneficiaries |
1092 |
Number Of Non Hispanic White Beneficiaries |
1901 |
Number Of Black or African American Beneficiaries |
82 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
52 |
Number Of Beneficiaries With Medicare Only Entitlement |
1974 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
91 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9967 |