National Provider Identifier [NPI]: |
1609875947 |
Last Name Of The Provider |
LEVIN |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
727 WELSH RD |
Street Address 2 Of The Provider |
SUITE 204 |
City Of The Provider |
HUNTINGDON VALLEY |
Zip Code Of The Provider |
190066357 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
1223 |
Number Of Medicare Beneficiaries |
382 |
Total Submitted Charge Amount |
156880 |
Total Medicare Allowed Amount |
116198.82 |
Total Medicare Payment Amount |
89086.84 |
Total Medicare Standardized Payment Amount |
84660 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
25 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
1375 |
Total Drug Medicare AllowedAmount |
421 |
Total Drug Medicare PaymentAmount |
412.5 |
Total Drug Medicare Standardized Payment Amount |
412.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
1198 |
Number Of Medicare Beneficiaries With Medical Services |
382 |
Total Medical Submitted Charge Amount |
155505 |
Total Medical Medicare Allowed Amount |
115777.82 |
Total Medical Medicare Payment Amount |
88674.34 |
Total Medical Medicare Standardized Payment Amount |
84247.5 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
94 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
162 |
Number Of Female Beneficiaries |
234 |
Number Of Male Beneficiaries |
148 |
Number Of Non Hispanic White Beneficiaries |
350 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
309 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
48 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.9575 |