National Provider Identifier [NPI]: |
1336136373 |
Last Name Of The Provider |
SCHERI |
First Name Of The Provider |
TAD |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
117 VIP DR |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
WEXFORD |
Zip Code Of The Provider |
150906932 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
3273 |
Number Of Medicare Beneficiaries |
405 |
Total Submitted Charge Amount |
245139 |
Total Medicare Allowed Amount |
162742.51 |
Total Medicare Payment Amount |
125984.69 |
Total Medicare Standardized Payment Amount |
129967.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
80 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
3829 |
Total Drug Medicare AllowedAmount |
2833.43 |
Total Drug Medicare PaymentAmount |
2772.49 |
Total Drug Medicare Standardized Payment Amount |
2772.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
94 |
Number Of Medical Services |
3193 |
Number Of Medicare Beneficiaries With Medical Services |
405 |
Total Medical Submitted Charge Amount |
241310 |
Total Medical Medicare Allowed Amount |
159909.08 |
Total Medical Medicare Payment Amount |
123212.2 |
Total Medical Medicare Standardized Payment Amount |
127194.77 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
129 |
Number Of Beneficiaries Age 75 to 84 |
96 |
Number Of Beneficiaries Age Greater 84 |
150 |
Number Of Female Beneficiaries |
244 |
Number Of Male Beneficiaries |
161 |
Number Of Non Hispanic White Beneficiaries |
392 |
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 |
353 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
10 |
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 |
1.8595 |