National Provider Identifier [NPI]: |
1700853603 |
Last Name Of The Provider |
FUREY |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3105 LIMESTONE RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
WILMINGTON |
Zip Code Of The Provider |
198082147 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
8980 |
Number Of Medicare Beneficiaries |
2937 |
Total Submitted Charge Amount |
3216444.89 |
Total Medicare Allowed Amount |
921793.82 |
Total Medicare Payment Amount |
693733.38 |
Total Medicare Standardized Payment Amount |
684791.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1007 |
Number Of Medicare Beneficiaries With Drug Services |
250 |
Total Drug Submitted ChargeAmount |
123640 |
Total Drug Medicare AllowedAmount |
48815.27 |
Total Drug Medicare PaymentAmount |
37792.85 |
Total Drug Medicare Standardized Payment Amount |
37792.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
7973 |
Number Of Medicare Beneficiaries With Medical Services |
2937 |
Total Medical Submitted Charge Amount |
3092804.89 |
Total Medical Medicare Allowed Amount |
872978.55 |
Total Medical Medicare Payment Amount |
655940.53 |
Total Medical Medicare Standardized Payment Amount |
646998.86 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
259 |
Number Of Beneficiaries Age 65 to 74 |
1104 |
Number Of Beneficiaries Age 75 to 84 |
1032 |
Number Of Beneficiaries Age Greater 84 |
542 |
Number Of Female Beneficiaries |
1526 |
Number Of Male Beneficiaries |
1411 |
Number Of Non Hispanic White Beneficiaries |
2414 |
Number Of Black or African American Beneficiaries |
389 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
60 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
46 |
Number Of Beneficiaries With Medicare Only Entitlement |
2576 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
361 |
Percent Of With Atrial Fibrillation |
36 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6587 |