National Provider Identifier [NPI]: |
1689694440 |
Last Name Of The Provider |
SOKIL |
First Name Of The Provider |
ALEXIS |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
925 CHESTNUT ST |
Street Address 2 Of The Provider |
MEZZANINE |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191074216 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
2731 |
Number Of Medicare Beneficiaries |
1145 |
Total Submitted Charge Amount |
450998 |
Total Medicare Allowed Amount |
178145.71 |
Total Medicare Payment Amount |
133762.56 |
Total Medicare Standardized Payment Amount |
124826.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
91 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
9770 |
Total Drug Medicare AllowedAmount |
4657.46 |
Total Drug Medicare PaymentAmount |
3651.42 |
Total Drug Medicare Standardized Payment Amount |
3651.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
2640 |
Number Of Medicare Beneficiaries With Medical Services |
1145 |
Total Medical Submitted Charge Amount |
441228 |
Total Medical Medicare Allowed Amount |
173488.25 |
Total Medical Medicare Payment Amount |
130111.14 |
Total Medical Medicare Standardized Payment Amount |
121174.79 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
207 |
Number Of Beneficiaries Age 65 to 74 |
445 |
Number Of Beneficiaries Age 75 to 84 |
337 |
Number Of Beneficiaries Age Greater 84 |
156 |
Number Of Female Beneficiaries |
563 |
Number Of Male Beneficiaries |
582 |
Number Of Non Hispanic White Beneficiaries |
848 |
Number Of Black or African American Beneficiaries |
204 |
Number Of AsianPacific Islander Beneficiaries |
48 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
821 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
324 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.3554 |