National Provider Identifier [NPI]: |
1730144874 |
Last Name Of The Provider |
BAER |
First Name Of The Provider |
HARRY |
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 |
8815 GERMANTOWN AVE |
Street Address 2 Of The Provider |
SUITE 21 |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191182722 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
3341 |
Number Of Medicare Beneficiaries |
856 |
Total Submitted Charge Amount |
618360 |
Total Medicare Allowed Amount |
278852.08 |
Total Medicare Payment Amount |
205425.68 |
Total Medicare Standardized Payment Amount |
197283.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
365 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
233911 |
Total Drug Medicare AllowedAmount |
66671.26 |
Total Drug Medicare PaymentAmount |
51802.75 |
Total Drug Medicare Standardized Payment Amount |
51802.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
2976 |
Number Of Medicare Beneficiaries With Medical Services |
856 |
Total Medical Submitted Charge Amount |
384449 |
Total Medical Medicare Allowed Amount |
212180.82 |
Total Medical Medicare Payment Amount |
153622.93 |
Total Medical Medicare Standardized Payment Amount |
145480.52 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
355 |
Number Of Beneficiaries Age 75 to 84 |
280 |
Number Of Beneficiaries Age Greater 84 |
183 |
Number Of Female Beneficiaries |
105 |
Number Of Male Beneficiaries |
751 |
Number Of Non Hispanic White Beneficiaries |
535 |
Number Of Black or African American Beneficiaries |
281 |
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 |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
778 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3791 |