National Provider Identifier [NPI]: |
1760460406 |
Last Name Of The Provider |
EDWARDS |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
464 ALLEGHENY BLVD |
Street Address 2 Of The Provider |
2A |
City Of The Provider |
FRANKLIN |
Zip Code Of The Provider |
163236259 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
4451 |
Number Of Medicare Beneficiaries |
2162 |
Total Submitted Charge Amount |
472021 |
Total Medicare Allowed Amount |
137710.14 |
Total Medicare Payment Amount |
97840.45 |
Total Medicare Standardized Payment Amount |
100944 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
4451 |
Number Of Medicare Beneficiaries With Medical Services |
2162 |
Total Medical Submitted Charge Amount |
472021 |
Total Medical Medicare Allowed Amount |
137710.14 |
Total Medical Medicare Payment Amount |
97840.45 |
Total Medical Medicare Standardized Payment Amount |
100944 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
515 |
Number Of Beneficiaries Age 65 to 74 |
677 |
Number Of Beneficiaries Age 75 to 84 |
612 |
Number Of Beneficiaries Age Greater 84 |
358 |
Number Of Female Beneficiaries |
1147 |
Number Of Male Beneficiaries |
1015 |
Number Of Non Hispanic White Beneficiaries |
2117 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1441 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
721 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.661 |