National Provider Identifier [NPI]: |
1811929458 |
Last Name Of The Provider |
NEALON |
First Name Of The Provider |
GERARD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1209 SWETLAND ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SCRANTON |
Zip Code Of The Provider |
185041849 |
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 |
44 |
Number Of Services |
5066 |
Number Of Medicare Beneficiaries |
1531 |
Total Submitted Charge Amount |
1845765 |
Total Medicare Allowed Amount |
480144.16 |
Total Medicare Payment Amount |
364281.96 |
Total Medicare Standardized Payment Amount |
350738.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
35 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
415 |
Total Drug Medicare AllowedAmount |
138.4 |
Total Drug Medicare PaymentAmount |
99.9 |
Total Drug Medicare Standardized Payment Amount |
99.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
5031 |
Number Of Medicare Beneficiaries With Medical Services |
1531 |
Total Medical Submitted Charge Amount |
1845350 |
Total Medical Medicare Allowed Amount |
480005.76 |
Total Medical Medicare Payment Amount |
364182.06 |
Total Medical Medicare Standardized Payment Amount |
350638.5 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
287 |
Number Of Beneficiaries Age 65 to 74 |
451 |
Number Of Beneficiaries Age 75 to 84 |
452 |
Number Of Beneficiaries Age Greater 84 |
341 |
Number Of Female Beneficiaries |
846 |
Number Of Male Beneficiaries |
685 |
Number Of Non Hispanic White Beneficiaries |
1454 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1021 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
510 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8256 |