National Provider Identifier [NPI]: |
1346299922 |
Last Name Of The Provider |
ALKHUJA |
First Name Of The Provider |
SAMER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
175 E BROWN ST STE 203 |
Street Address 2 Of The Provider |
PMC PHYSICIAN ASSOCIATES PULMONARY MEDICINE |
City Of The Provider |
EAST STROUDSBURG |
Zip Code Of The Provider |
183013098 |
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 |
40 |
Number Of Services |
6280 |
Number Of Medicare Beneficiaries |
1274 |
Total Submitted Charge Amount |
2018876 |
Total Medicare Allowed Amount |
618780.68 |
Total Medicare Payment Amount |
474702.75 |
Total Medicare Standardized Payment Amount |
494018.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
93 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
5914 |
Total Drug Medicare AllowedAmount |
1905.26 |
Total Drug Medicare PaymentAmount |
1706.6 |
Total Drug Medicare Standardized Payment Amount |
1706.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
6187 |
Number Of Medicare Beneficiaries With Medical Services |
1274 |
Total Medical Submitted Charge Amount |
2012962 |
Total Medical Medicare Allowed Amount |
616875.42 |
Total Medical Medicare Payment Amount |
472996.15 |
Total Medical Medicare Standardized Payment Amount |
492311.48 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
324 |
Number Of Beneficiaries Age 65 to 74 |
460 |
Number Of Beneficiaries Age 75 to 84 |
334 |
Number Of Beneficiaries Age Greater 84 |
156 |
Number Of Female Beneficiaries |
626 |
Number Of Male Beneficiaries |
648 |
Number Of Non Hispanic White Beneficiaries |
1046 |
Number Of Black or African American Beneficiaries |
119 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
91 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
915 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
359 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
72 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.1006 |