National Provider Identifier [NPI]: |
1477653988 |
Last Name Of The Provider |
ROSS |
First Name Of The Provider |
PAMELA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
757 NORLAND AVE |
Street Address 2 Of The Provider |
SUITE 204 |
City Of The Provider |
CHAMBERSBURG |
Zip Code Of The Provider |
172014230 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
5431 |
Number Of Medicare Beneficiaries |
1011 |
Total Submitted Charge Amount |
638140 |
Total Medicare Allowed Amount |
201681.65 |
Total Medicare Payment Amount |
142606.57 |
Total Medicare Standardized Payment Amount |
173122.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
333 |
Number Of Medicare Beneficiaries With Drug Services |
57 |
Total Drug Submitted ChargeAmount |
4293 |
Total Drug Medicare AllowedAmount |
579.92 |
Total Drug Medicare PaymentAmount |
409.99 |
Total Drug Medicare Standardized Payment Amount |
409.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
5098 |
Number Of Medicare Beneficiaries With Medical Services |
1011 |
Total Medical Submitted Charge Amount |
633847 |
Total Medical Medicare Allowed Amount |
201101.73 |
Total Medical Medicare Payment Amount |
142196.58 |
Total Medical Medicare Standardized Payment Amount |
172712.53 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
438 |
Number Of Beneficiaries Age 75 to 84 |
351 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
592 |
Number Of Male Beneficiaries |
419 |
Number Of Non Hispanic White Beneficiaries |
966 |
Number Of Black or African American Beneficiaries |
15 |
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 |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
927 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
84 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0425 |