National Provider Identifier [NPI]: |
1467487595 |
Last Name Of The Provider |
KYRILLOS |
First Name Of The Provider |
JANINE |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
225 E CITY AVE |
Street Address 2 Of The Provider |
SUITE 109 |
City Of The Provider |
BALA CYNWYD |
Zip Code Of The Provider |
190041704 |
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 |
27 |
Number Of Services |
675 |
Number Of Medicare Beneficiaries |
327 |
Total Submitted Charge Amount |
97135 |
Total Medicare Allowed Amount |
53299.26 |
Total Medicare Payment Amount |
38768.92 |
Total Medicare Standardized Payment Amount |
36953.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
83 |
Number Of Medicare Beneficiaries With Drug Services |
77 |
Total Drug Submitted ChargeAmount |
9450 |
Total Drug Medicare AllowedAmount |
2916.22 |
Total Drug Medicare PaymentAmount |
2853.41 |
Total Drug Medicare Standardized Payment Amount |
2853.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
592 |
Number Of Medicare Beneficiaries With Medical Services |
326 |
Total Medical Submitted Charge Amount |
87685 |
Total Medical Medicare Allowed Amount |
50383.04 |
Total Medical Medicare Payment Amount |
35915.51 |
Total Medical Medicare Standardized Payment Amount |
34100.49 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
148 |
Number Of Beneficiaries Age 75 to 84 |
67 |
Number Of Beneficiaries Age Greater 84 |
22 |
Number Of Female Beneficiaries |
238 |
Number Of Male Beneficiaries |
89 |
Number Of Non Hispanic White Beneficiaries |
145 |
Number Of Black or African American Beneficiaries |
154 |
Number Of AsianPacific Islander Beneficiaries |
14 |
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 |
235 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2144 |