National Provider Identifier [NPI]: |
1598781445 |
Last Name Of The Provider |
CHRZANOWSKI |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D., FACEP |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 BANNING ST |
Street Address 2 Of The Provider |
STE 170 |
City Of The Provider |
DOVER |
Zip Code Of The Provider |
199043485 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
3900 |
Number Of Medicare Beneficiaries |
1912 |
Total Submitted Charge Amount |
441352.5 |
Total Medicare Allowed Amount |
243286.42 |
Total Medicare Payment Amount |
175599.83 |
Total Medicare Standardized Payment Amount |
178616.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
290 |
Number Of Medicare Beneficiaries With Drug Services |
219 |
Total Drug Submitted ChargeAmount |
19940 |
Total Drug Medicare AllowedAmount |
14002.15 |
Total Drug Medicare PaymentAmount |
10722.25 |
Total Drug Medicare Standardized Payment Amount |
10722.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
3610 |
Number Of Medicare Beneficiaries With Medical Services |
1912 |
Total Medical Submitted Charge Amount |
421412.5 |
Total Medical Medicare Allowed Amount |
229284.27 |
Total Medical Medicare Payment Amount |
164877.58 |
Total Medical Medicare Standardized Payment Amount |
167894.42 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
335 |
Number Of Beneficiaries Age 65 to 74 |
845 |
Number Of Beneficiaries Age 75 to 84 |
516 |
Number Of Beneficiaries Age Greater 84 |
216 |
Number Of Female Beneficiaries |
1192 |
Number Of Male Beneficiaries |
720 |
Number Of Non Hispanic White Beneficiaries |
1449 |
Number Of Black or African American Beneficiaries |
377 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1569 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
343 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.083 |