National Provider Identifier [NPI]: |
1508876848 |
Last Name Of The Provider |
FALCO |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 BIDDLE AVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
NEWARK |
Zip Code Of The Provider |
197023981 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
167 |
Number Of Services |
12221 |
Number Of Medicare Beneficiaries |
686 |
Total Submitted Charge Amount |
3090779.84 |
Total Medicare Allowed Amount |
634114.12 |
Total Medicare Payment Amount |
492131.7 |
Total Medicare Standardized Payment Amount |
460399.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
2707 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
33092.66 |
Total Drug Medicare AllowedAmount |
11035.38 |
Total Drug Medicare PaymentAmount |
8130.79 |
Total Drug Medicare Standardized Payment Amount |
8130.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
154 |
Number Of Medical Services |
9514 |
Number Of Medicare Beneficiaries With Medical Services |
686 |
Total Medical Submitted Charge Amount |
3057687.18 |
Total Medical Medicare Allowed Amount |
623078.74 |
Total Medical Medicare Payment Amount |
484000.91 |
Total Medical Medicare Standardized Payment Amount |
452269.08 |
Average Age Of Beneficiaries |
60 |
Number Of Beneficiaries Age Less65 |
426 |
Number Of Beneficiaries Age 65 to 74 |
177 |
Number Of Beneficiaries Age 75 to 84 |
68 |
Number Of Beneficiaries Age Greater 84 |
15 |
Number Of Female Beneficiaries |
430 |
Number Of Male Beneficiaries |
256 |
Number Of Non Hispanic White Beneficiaries |
548 |
Number Of Black or African American Beneficiaries |
118 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
420 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
266 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
56 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7516 |