National Provider Identifier [NPI]: |
1235188319 |
Last Name Of The Provider |
POLINSKY |
First Name Of The Provider |
RONALD |
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 |
2605 KEISER BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WYOMISSING |
Zip Code Of The Provider |
19610 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
6296 |
Number Of Medicare Beneficiaries |
1987 |
Total Submitted Charge Amount |
1351503.54 |
Total Medicare Allowed Amount |
599316.76 |
Total Medicare Payment Amount |
444628.86 |
Total Medicare Standardized Payment Amount |
464509.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
801 |
Number Of Medicare Beneficiaries With Drug Services |
185 |
Total Drug Submitted ChargeAmount |
39533.58 |
Total Drug Medicare AllowedAmount |
39475.1 |
Total Drug Medicare PaymentAmount |
29874.5 |
Total Drug Medicare Standardized Payment Amount |
29874.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
5495 |
Number Of Medicare Beneficiaries With Medical Services |
1987 |
Total Medical Submitted Charge Amount |
1311969.96 |
Total Medical Medicare Allowed Amount |
559841.66 |
Total Medical Medicare Payment Amount |
414754.36 |
Total Medical Medicare Standardized Payment Amount |
434634.75 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
227 |
Number Of Beneficiaries Age 65 to 74 |
644 |
Number Of Beneficiaries Age 75 to 84 |
731 |
Number Of Beneficiaries Age Greater 84 |
385 |
Number Of Female Beneficiaries |
987 |
Number Of Male Beneficiaries |
1000 |
Number Of Non Hispanic White Beneficiaries |
1799 |
Number Of Black or African American Beneficiaries |
49 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
110 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1659 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
328 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5881 |