Medicare Facts for Leonid Polishuk, PT


National Provider Identifier [NPI]: 1639235617
Last Name Of The Provider POLISHUK
First Name Of The Provider LEONID
Middle Initial Of The Provider
Credentials Of The Provider PT
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1024 N BETHLEHEM PIKE
Street Address 2 Of The Provider
City Of The Provider AMBLER
Zip Code Of The Provider 190022114
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Physical Therapist
Medicare Participation Indicator Y
Number Of HCPCS 8
Number Of Services 17010
Number Of Medicare Beneficiaries 262
Total Submitted Charge Amount 671115
Total Medicare Allowed Amount 405809.21
Total Medicare Payment Amount 314381.16
Total Medicare Standardized Payment Amount 279574.39
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 8
Number Of Medical Services 17010
Number Of Medicare Beneficiaries With Medical Services 262
Total Medical Submitted Charge Amount 671115
Total Medical Medicare Allowed Amount 405809.21
Total Medical Medicare Payment Amount 314381.16
Total Medical Medicare Standardized Payment Amount 279574.39
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 14
Number Of Beneficiaries Age 65 to 74 146
Number Of Beneficiaries Age 75 to 84 85
Number Of Beneficiaries Age Greater 84 17
Number Of Female Beneficiaries 165
Number Of Male Beneficiaries 97
Number Of Non Hispanic White Beneficiaries 238
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 6
Percent Of With Cancer 12
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 12
Percent Of With Chronic Obstructive Pulmonary Disease 6
Percent Of With Depression 18
Percent Of With Diabetes 19
Percent Of With Hyperlipidemia 66
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 31
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 65
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 0.8359

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