National Provider Identifier [NPI]: |
1023012515 |
Last Name Of The Provider |
MASHEK |
First Name Of The Provider |
HELEN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
537 STANTON CHRISTIANA RD |
Street Address 2 Of The Provider |
SUITE # 207 |
City Of The Provider |
NEWARK |
Zip Code Of The Provider |
197132146 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
3457 |
Number Of Medicare Beneficiaries |
738 |
Total Submitted Charge Amount |
340886 |
Total Medicare Allowed Amount |
222597.64 |
Total Medicare Payment Amount |
161139.55 |
Total Medicare Standardized Payment Amount |
156834.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
50 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
6382 |
Total Drug Medicare AllowedAmount |
5179.43 |
Total Drug Medicare PaymentAmount |
3728.02 |
Total Drug Medicare Standardized Payment Amount |
3728.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
3407 |
Number Of Medicare Beneficiaries With Medical Services |
738 |
Total Medical Submitted Charge Amount |
334504 |
Total Medical Medicare Allowed Amount |
217418.21 |
Total Medical Medicare Payment Amount |
157411.53 |
Total Medical Medicare Standardized Payment Amount |
153106.66 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
419 |
Number Of Beneficiaries Age 75 to 84 |
217 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
515 |
Number Of Male Beneficiaries |
223 |
Number Of Non Hispanic White Beneficiaries |
695 |
Number Of Black or African American Beneficiaries |
20 |
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 |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
699 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8689 |