National Provider Identifier [NPI]: |
1679555320 |
Last Name Of The Provider |
HIRSCH |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
104 PHEASANT RUN |
Street Address 2 Of The Provider |
SUITE 128 |
City Of The Provider |
NEWTOWN |
Zip Code Of The Provider |
189403439 |
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 |
68 |
Number Of Services |
4341 |
Number Of Medicare Beneficiaries |
1664 |
Total Submitted Charge Amount |
1075334.96 |
Total Medicare Allowed Amount |
499717.47 |
Total Medicare Payment Amount |
381760.01 |
Total Medicare Standardized Payment Amount |
359150.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
60 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
2848 |
Total Drug Medicare AllowedAmount |
2787.73 |
Total Drug Medicare PaymentAmount |
2185.56 |
Total Drug Medicare Standardized Payment Amount |
2185.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
4281 |
Number Of Medicare Beneficiaries With Medical Services |
1664 |
Total Medical Submitted Charge Amount |
1072486.96 |
Total Medical Medicare Allowed Amount |
496929.74 |
Total Medical Medicare Payment Amount |
379574.45 |
Total Medical Medicare Standardized Payment Amount |
356964.51 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
640 |
Number Of Beneficiaries Age 75 to 84 |
560 |
Number Of Beneficiaries Age Greater 84 |
349 |
Number Of Female Beneficiaries |
850 |
Number Of Male Beneficiaries |
814 |
Number Of Non Hispanic White Beneficiaries |
1514 |
Number Of Black or African American Beneficiaries |
85 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
1572 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5095 |