National Provider Identifier [NPI]: |
1457350522 |
Last Name Of The Provider |
AARON |
First Name Of The Provider |
TODD |
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 |
8815 GERMANTOWN AVE |
Street Address 2 Of The Provider |
SUITE 31 |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191182722 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
3228 |
Number Of Medicare Beneficiaries |
429 |
Total Submitted Charge Amount |
391602 |
Total Medicare Allowed Amount |
324289.02 |
Total Medicare Payment Amount |
245711.66 |
Total Medicare Standardized Payment Amount |
234176.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
59 |
Number Of Medicare Beneficiaries With Drug Services |
55 |
Total Drug Submitted ChargeAmount |
1155 |
Total Drug Medicare AllowedAmount |
659.97 |
Total Drug Medicare PaymentAmount |
644.9 |
Total Drug Medicare Standardized Payment Amount |
644.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
3169 |
Number Of Medicare Beneficiaries With Medical Services |
429 |
Total Medical Submitted Charge Amount |
390447 |
Total Medical Medicare Allowed Amount |
323629.05 |
Total Medical Medicare Payment Amount |
245066.76 |
Total Medical Medicare Standardized Payment Amount |
233531.96 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
102 |
Number Of Beneficiaries Age 75 to 84 |
119 |
Number Of Beneficiaries Age Greater 84 |
174 |
Number Of Female Beneficiaries |
265 |
Number Of Male Beneficiaries |
164 |
Number Of Non Hispanic White Beneficiaries |
255 |
Number Of Black or African American Beneficiaries |
163 |
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 |
254 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
175 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
58 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
2.2872 |