National Provider Identifier [NPI]: |
1154321719 |
Last Name Of The Provider |
SATRIALE |
First Name Of The Provider |
ROBERT |
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 |
213 REECEVILLE RD |
Street Address 2 Of The Provider |
STE 36 |
City Of The Provider |
COATESVILLE |
Zip Code Of The Provider |
193201528 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
3307 |
Number Of Medicare Beneficiaries |
970 |
Total Submitted Charge Amount |
659911.53 |
Total Medicare Allowed Amount |
383669.88 |
Total Medicare Payment Amount |
294193.33 |
Total Medicare Standardized Payment Amount |
286608.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
14 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
479 |
Total Drug Medicare AllowedAmount |
274.26 |
Total Drug Medicare PaymentAmount |
268.78 |
Total Drug Medicare Standardized Payment Amount |
268.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
3293 |
Number Of Medicare Beneficiaries With Medical Services |
970 |
Total Medical Submitted Charge Amount |
659432.53 |
Total Medical Medicare Allowed Amount |
383395.62 |
Total Medical Medicare Payment Amount |
293924.55 |
Total Medical Medicare Standardized Payment Amount |
286339.52 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
158 |
Number Of Beneficiaries Age 65 to 74 |
395 |
Number Of Beneficiaries Age 75 to 84 |
265 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
516 |
Number Of Male Beneficiaries |
454 |
Number Of Non Hispanic White Beneficiaries |
829 |
Number Of Black or African American Beneficiaries |
101 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
752 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
218 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
52 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.161 |