National Provider Identifier [NPI]: |
1841281185 |
Last Name Of The Provider |
HABER |
First Name Of The Provider |
HOWARD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
230 W WASHINGTON SQ |
Street Address 2 Of The Provider |
3RD FLOOR |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191063500 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
3245 |
Number Of Medicare Beneficiaries |
1228 |
Total Submitted Charge Amount |
503135 |
Total Medicare Allowed Amount |
199518.75 |
Total Medicare Payment Amount |
151042.05 |
Total Medicare Standardized Payment Amount |
141878.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
3245 |
Number Of Medicare Beneficiaries With Medical Services |
1228 |
Total Medical Submitted Charge Amount |
503135 |
Total Medical Medicare Allowed Amount |
199518.75 |
Total Medical Medicare Payment Amount |
151042.05 |
Total Medical Medicare Standardized Payment Amount |
141878.91 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
212 |
Number Of Beneficiaries Age 65 to 74 |
521 |
Number Of Beneficiaries Age 75 to 84 |
335 |
Number Of Beneficiaries Age Greater 84 |
160 |
Number Of Female Beneficiaries |
628 |
Number Of Male Beneficiaries |
600 |
Number Of Non Hispanic White Beneficiaries |
894 |
Number Of Black or African American Beneficiaries |
259 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
921 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
307 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.886 |