National Provider Identifier [NPI]: |
1801840608 |
Last Name Of The Provider |
UNWIN |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1693 S QUEEN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
YORK |
Zip Code Of The Provider |
174034609 |
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 |
48 |
Number Of Services |
1999 |
Number Of Medicare Beneficiaries |
192 |
Total Submitted Charge Amount |
82186 |
Total Medicare Allowed Amount |
48869.65 |
Total Medicare Payment Amount |
38532.96 |
Total Medicare Standardized Payment Amount |
39791.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1562 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
25010 |
Total Drug Medicare AllowedAmount |
22484.42 |
Total Drug Medicare PaymentAmount |
17519.56 |
Total Drug Medicare Standardized Payment Amount |
17519.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
437 |
Number Of Medicare Beneficiaries With Medical Services |
192 |
Total Medical Submitted Charge Amount |
57176 |
Total Medical Medicare Allowed Amount |
26385.23 |
Total Medical Medicare Payment Amount |
21013.4 |
Total Medical Medicare Standardized Payment Amount |
22271.63 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
94 |
Number Of Beneficiaries Age 75 to 84 |
46 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
192 |
Number Of Male Beneficiaries |
0 |
Number Of Non Hispanic White Beneficiaries |
174 |
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 |
159 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
26 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
15 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7759 |