National Provider Identifier [NPI]: |
1306941034 |
Last Name Of The Provider |
SNOWMAN |
First Name Of The Provider |
WHITNEY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 LIGONIER ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LATROBE |
Zip Code Of The Provider |
156501426 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
2742 |
Number Of Medicare Beneficiaries |
729 |
Total Submitted Charge Amount |
439210 |
Total Medicare Allowed Amount |
195683.5 |
Total Medicare Payment Amount |
146316.96 |
Total Medicare Standardized Payment Amount |
150557.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
419 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
144440 |
Total Drug Medicare AllowedAmount |
46750.21 |
Total Drug Medicare PaymentAmount |
36615.54 |
Total Drug Medicare Standardized Payment Amount |
36615.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
2323 |
Number Of Medicare Beneficiaries With Medical Services |
729 |
Total Medical Submitted Charge Amount |
294770 |
Total Medical Medicare Allowed Amount |
148933.29 |
Total Medical Medicare Payment Amount |
109701.42 |
Total Medical Medicare Standardized Payment Amount |
113941.96 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
247 |
Number Of Beneficiaries Age 75 to 84 |
241 |
Number Of Beneficiaries Age Greater 84 |
158 |
Number Of Female Beneficiaries |
166 |
Number Of Male Beneficiaries |
563 |
Number Of Non Hispanic White Beneficiaries |
712 |
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 |
623 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
106 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3348 |