National Provider Identifier [NPI]: |
1457311912 |
Last Name Of The Provider |
WALKER |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 STATE STREET |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
MEDIA |
Zip Code Of The Provider |
190633434 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
8822 |
Number Of Medicare Beneficiaries |
823 |
Total Submitted Charge Amount |
1611386.61 |
Total Medicare Allowed Amount |
445500.88 |
Total Medicare Payment Amount |
334488.11 |
Total Medicare Standardized Payment Amount |
321135.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
3187 |
Number Of Medicare Beneficiaries With Drug Services |
152 |
Total Drug Submitted ChargeAmount |
313931.15 |
Total Drug Medicare AllowedAmount |
86444.1 |
Total Drug Medicare PaymentAmount |
67718.25 |
Total Drug Medicare Standardized Payment Amount |
67718.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
5635 |
Number Of Medicare Beneficiaries With Medical Services |
823 |
Total Medical Submitted Charge Amount |
1297455.46 |
Total Medical Medicare Allowed Amount |
359056.78 |
Total Medical Medicare Payment Amount |
266769.86 |
Total Medical Medicare Standardized Payment Amount |
253416.92 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
306 |
Number Of Beneficiaries Age 75 to 84 |
261 |
Number Of Beneficiaries Age Greater 84 |
168 |
Number Of Female Beneficiaries |
209 |
Number Of Male Beneficiaries |
614 |
Number Of Non Hispanic White Beneficiaries |
679 |
Number Of Black or African American Beneficiaries |
122 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
697 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
126 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.4463 |