National Provider Identifier [NPI]: |
1699091090 |
Last Name Of The Provider |
SILVERMAN |
First Name Of The Provider |
BENJAMIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
219 N. BROAD ST. |
Street Address 2 Of The Provider |
2ND FLOOR |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
19107 |
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 |
38 |
Number Of Services |
2422 |
Number Of Medicare Beneficiaries |
854 |
Total Submitted Charge Amount |
380340 |
Total Medicare Allowed Amount |
160540.76 |
Total Medicare Payment Amount |
120877.39 |
Total Medicare Standardized Payment Amount |
115690.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
73 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
9119 |
Total Drug Medicare AllowedAmount |
3811.61 |
Total Drug Medicare PaymentAmount |
2988.26 |
Total Drug Medicare Standardized Payment Amount |
2988.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
2349 |
Number Of Medicare Beneficiaries With Medical Services |
854 |
Total Medical Submitted Charge Amount |
371221 |
Total Medical Medicare Allowed Amount |
156729.15 |
Total Medical Medicare Payment Amount |
117889.13 |
Total Medical Medicare Standardized Payment Amount |
112701.78 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
311 |
Number Of Beneficiaries Age 65 to 74 |
287 |
Number Of Beneficiaries Age 75 to 84 |
141 |
Number Of Beneficiaries Age Greater 84 |
115 |
Number Of Female Beneficiaries |
406 |
Number Of Male Beneficiaries |
448 |
Number Of Non Hispanic White Beneficiaries |
288 |
Number Of Black or African American Beneficiaries |
482 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
53 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
357 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
497 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
62 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.9832 |