National Provider Identifier [NPI]: |
1790759157 |
Last Name Of The Provider |
FEHNEL |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
301 S 7TH AVE |
Street Address 2 Of The Provider |
SUITE 245 |
City Of The Provider |
WEST READING |
Zip Code Of The Provider |
196111410 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Obstetrics/Gynecology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
1612 |
Number Of Medicare Beneficiaries |
253 |
Total Submitted Charge Amount |
158461 |
Total Medicare Allowed Amount |
63923.1 |
Total Medicare Payment Amount |
50211.32 |
Total Medicare Standardized Payment Amount |
51609.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1082 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
29775 |
Total Drug Medicare AllowedAmount |
15543.29 |
Total Drug Medicare PaymentAmount |
11864.21 |
Total Drug Medicare Standardized Payment Amount |
11864.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
530 |
Number Of Medicare Beneficiaries With Medical Services |
253 |
Total Medical Submitted Charge Amount |
128686 |
Total Medical Medicare Allowed Amount |
48379.81 |
Total Medical Medicare Payment Amount |
38347.11 |
Total Medical Medicare Standardized Payment Amount |
39745.1 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
117 |
Number Of Beneficiaries Age 75 to 84 |
81 |
Number Of Beneficiaries Age Greater 84 |
24 |
Number Of Female Beneficiaries |
253 |
Number Of Male Beneficiaries |
0 |
Number Of Non Hispanic White Beneficiaries |
235 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
236 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
13 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
7 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
14 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9287 |