National Provider Identifier [NPI]: |
1982607842 |
Last Name Of The Provider |
PFEFFER |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9501 ROOSEVELT BLVD |
Street Address 2 Of The Provider |
STE 501 |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191141030 |
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 |
41 |
Number Of Services |
6002.2 |
Number Of Medicare Beneficiaries |
2025 |
Total Submitted Charge Amount |
599485 |
Total Medicare Allowed Amount |
288261.79 |
Total Medicare Payment Amount |
217420.11 |
Total Medicare Standardized Payment Amount |
207984.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1145.2 |
Number Of Medicare Beneficiaries With Drug Services |
68 |
Total Drug Submitted ChargeAmount |
24366 |
Total Drug Medicare AllowedAmount |
14157.98 |
Total Drug Medicare PaymentAmount |
11099.81 |
Total Drug Medicare Standardized Payment Amount |
11099.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
4857 |
Number Of Medicare Beneficiaries With Medical Services |
2024 |
Total Medical Submitted Charge Amount |
575119 |
Total Medical Medicare Allowed Amount |
274103.81 |
Total Medical Medicare Payment Amount |
206320.3 |
Total Medical Medicare Standardized Payment Amount |
196884.46 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
409 |
Number Of Beneficiaries Age 65 to 74 |
687 |
Number Of Beneficiaries Age 75 to 84 |
520 |
Number Of Beneficiaries Age Greater 84 |
409 |
Number Of Female Beneficiaries |
1043 |
Number Of Male Beneficiaries |
982 |
Number Of Non Hispanic White Beneficiaries |
1756 |
Number Of Black or African American Beneficiaries |
136 |
Number Of AsianPacific Islander Beneficiaries |
40 |
Number Of Hispanic Beneficiaries |
70 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1410 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
615 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.0893 |