National Provider Identifier [NPI]: |
1629049804 |
Last Name Of The Provider |
MCELWAIN |
First Name Of The Provider |
GUY |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1650 HUNTINGDON PIKE |
Street Address 2 Of The Provider |
SUITE 156 |
City Of The Provider |
MEADOWBROOK |
Zip Code Of The Provider |
190468004 |
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 |
55 |
Number Of Services |
2986 |
Number Of Medicare Beneficiaries |
465 |
Total Submitted Charge Amount |
277894 |
Total Medicare Allowed Amount |
232772.69 |
Total Medicare Payment Amount |
181653.6 |
Total Medicare Standardized Payment Amount |
164255.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
321 |
Number Of Medicare Beneficiaries With Drug Services |
213 |
Total Drug Submitted ChargeAmount |
25451 |
Total Drug Medicare AllowedAmount |
20195.07 |
Total Drug Medicare PaymentAmount |
19704.55 |
Total Drug Medicare Standardized Payment Amount |
19704.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
2665 |
Number Of Medicare Beneficiaries With Medical Services |
465 |
Total Medical Submitted Charge Amount |
252443 |
Total Medical Medicare Allowed Amount |
212577.62 |
Total Medical Medicare Payment Amount |
161949.05 |
Total Medical Medicare Standardized Payment Amount |
144550.47 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
142 |
Number Of Beneficiaries Age 75 to 84 |
169 |
Number Of Beneficiaries Age Greater 84 |
130 |
Number Of Female Beneficiaries |
257 |
Number Of Male Beneficiaries |
208 |
Number Of Non Hispanic White Beneficiaries |
437 |
Number Of Black or African American Beneficiaries |
11 |
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 |
436 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.3617 |