National Provider Identifier [NPI]: |
1790859924 |
Last Name Of The Provider |
LEDDY |
First Name Of The Provider |
CHERYL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2701 HOLME AVE |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191522029 |
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 |
37 |
Number Of Services |
2981 |
Number Of Medicare Beneficiaries |
1307 |
Total Submitted Charge Amount |
322517.2 |
Total Medicare Allowed Amount |
140865.59 |
Total Medicare Payment Amount |
104083.61 |
Total Medicare Standardized Payment Amount |
98759.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
2981 |
Number Of Medicare Beneficiaries With Medical Services |
1307 |
Total Medical Submitted Charge Amount |
322517.2 |
Total Medical Medicare Allowed Amount |
140865.59 |
Total Medical Medicare Payment Amount |
104083.61 |
Total Medical Medicare Standardized Payment Amount |
98759.07 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
216 |
Number Of Beneficiaries Age 65 to 74 |
362 |
Number Of Beneficiaries Age 75 to 84 |
346 |
Number Of Beneficiaries Age Greater 84 |
383 |
Number Of Female Beneficiaries |
792 |
Number Of Male Beneficiaries |
515 |
Number Of Non Hispanic White Beneficiaries |
1090 |
Number Of Black or African American Beneficiaries |
116 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
817 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
490 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.1823 |