National Provider Identifier [NPI]: |
1861498693 |
Last Name Of The Provider |
MORELOS |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1215 ROUTE 70 WEST |
Street Address 2 Of The Provider |
SUITE 1005 |
City Of The Provider |
LAKEWOOD |
Zip Code Of The Provider |
08701 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
4470 |
Number Of Medicare Beneficiaries |
765 |
Total Submitted Charge Amount |
795462 |
Total Medicare Allowed Amount |
454763.47 |
Total Medicare Payment Amount |
343671.52 |
Total Medicare Standardized Payment Amount |
324619.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
152 |
Number Of Medicare Beneficiaries With Drug Services |
132 |
Total Drug Submitted ChargeAmount |
11320 |
Total Drug Medicare AllowedAmount |
5046.93 |
Total Drug Medicare PaymentAmount |
4934.16 |
Total Drug Medicare Standardized Payment Amount |
4934.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
4318 |
Number Of Medicare Beneficiaries With Medical Services |
765 |
Total Medical Submitted Charge Amount |
784142 |
Total Medical Medicare Allowed Amount |
449716.54 |
Total Medical Medicare Payment Amount |
338737.36 |
Total Medical Medicare Standardized Payment Amount |
319685.19 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
64 |
Number Of Beneficiaries Age 65 to 74 |
308 |
Number Of Beneficiaries Age 75 to 84 |
245 |
Number Of Beneficiaries Age Greater 84 |
148 |
Number Of Female Beneficiaries |
451 |
Number Of Male Beneficiaries |
314 |
Number Of Non Hispanic White Beneficiaries |
717 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
677 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
88 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5874 |