National Provider Identifier [NPI]: |
1770544223 |
Last Name Of The Provider |
SARLO |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4735 OGLETOWN-STANTON RD |
Street Address 2 Of The Provider |
STE 2210 |
City Of The Provider |
NEWARK |
Zip Code Of The Provider |
19713 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
2102 |
Number Of Medicare Beneficiaries |
485 |
Total Submitted Charge Amount |
675994.82 |
Total Medicare Allowed Amount |
174026.02 |
Total Medicare Payment Amount |
132178.26 |
Total Medicare Standardized Payment Amount |
120343.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
782 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
35625 |
Total Drug Medicare AllowedAmount |
21455.77 |
Total Drug Medicare PaymentAmount |
16127.9 |
Total Drug Medicare Standardized Payment Amount |
16127.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
1320 |
Number Of Medicare Beneficiaries With Medical Services |
485 |
Total Medical Submitted Charge Amount |
640369.82 |
Total Medical Medicare Allowed Amount |
152570.25 |
Total Medical Medicare Payment Amount |
116050.36 |
Total Medical Medicare Standardized Payment Amount |
104215.5 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
201 |
Number Of Beneficiaries Age 75 to 84 |
143 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
274 |
Number Of Male Beneficiaries |
211 |
Number Of Non Hispanic White Beneficiaries |
397 |
Number Of Black or African American Beneficiaries |
68 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
423 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.4479 |