National Provider Identifier [NPI]: |
1720075542 |
Last Name Of The Provider |
SIRNA |
First Name Of The Provider |
SARA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3401 N BROAD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191405103 |
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 |
33 |
Number Of Services |
3342 |
Number Of Medicare Beneficiaries |
2073 |
Total Submitted Charge Amount |
476647 |
Total Medicare Allowed Amount |
117703.94 |
Total Medicare Payment Amount |
90993.33 |
Total Medicare Standardized Payment Amount |
85176.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
3342 |
Number Of Medicare Beneficiaries With Medical Services |
2073 |
Total Medical Submitted Charge Amount |
476647 |
Total Medical Medicare Allowed Amount |
117703.94 |
Total Medical Medicare Payment Amount |
90993.33 |
Total Medical Medicare Standardized Payment Amount |
85176.21 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
306 |
Number Of Beneficiaries Age 65 to 74 |
783 |
Number Of Beneficiaries Age 75 to 84 |
654 |
Number Of Beneficiaries Age Greater 84 |
330 |
Number Of Female Beneficiaries |
1068 |
Number Of Male Beneficiaries |
1005 |
Number Of Non Hispanic White Beneficiaries |
1483 |
Number Of Black or African American Beneficiaries |
358 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
182 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1550 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
523 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9408 |