National Provider Identifier [NPI]: |
1356360085 |
Last Name Of The Provider |
ZELECHOSKI |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3 HOSPITAL DR |
Street Address 2 Of The Provider |
SUITE 206 |
City Of The Provider |
LEWISBURG |
Zip Code Of The Provider |
178379362 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
4539 |
Number Of Medicare Beneficiaries |
1494 |
Total Submitted Charge Amount |
290575.5 |
Total Medicare Allowed Amount |
145613.4 |
Total Medicare Payment Amount |
102465.32 |
Total Medicare Standardized Payment Amount |
107322.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1174 |
Number Of Medicare Beneficiaries With Drug Services |
238 |
Total Drug Submitted ChargeAmount |
22998.5 |
Total Drug Medicare AllowedAmount |
16232.63 |
Total Drug Medicare PaymentAmount |
13630.94 |
Total Drug Medicare Standardized Payment Amount |
13630.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
3365 |
Number Of Medicare Beneficiaries With Medical Services |
1494 |
Total Medical Submitted Charge Amount |
267577 |
Total Medical Medicare Allowed Amount |
129380.77 |
Total Medical Medicare Payment Amount |
88834.38 |
Total Medical Medicare Standardized Payment Amount |
93691.94 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
515 |
Number Of Beneficiaries Age 75 to 84 |
469 |
Number Of Beneficiaries Age Greater 84 |
362 |
Number Of Female Beneficiaries |
859 |
Number Of Male Beneficiaries |
635 |
Number Of Non Hispanic White Beneficiaries |
1460 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1170 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
324 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3121 |