National Provider Identifier [NPI]: |
1548280720 |
Last Name Of The Provider |
PERSING |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3 HOSPITAL DR |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
LEWISBURG |
Zip Code Of The Provider |
178379362 |
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 |
37 |
Number Of Services |
3987 |
Number Of Medicare Beneficiaries |
1410 |
Total Submitted Charge Amount |
363252 |
Total Medicare Allowed Amount |
203110.56 |
Total Medicare Payment Amount |
146316.67 |
Total Medicare Standardized Payment Amount |
152140.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
432 |
Number Of Medicare Beneficiaries With Drug Services |
188 |
Total Drug Submitted ChargeAmount |
7115 |
Total Drug Medicare AllowedAmount |
4753.76 |
Total Drug Medicare PaymentAmount |
4535.73 |
Total Drug Medicare Standardized Payment Amount |
4535.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
3555 |
Number Of Medicare Beneficiaries With Medical Services |
1410 |
Total Medical Submitted Charge Amount |
356137 |
Total Medical Medicare Allowed Amount |
198356.8 |
Total Medical Medicare Payment Amount |
141780.94 |
Total Medical Medicare Standardized Payment Amount |
147605.23 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
158 |
Number Of Beneficiaries Age 65 to 74 |
428 |
Number Of Beneficiaries Age 75 to 84 |
465 |
Number Of Beneficiaries Age Greater 84 |
359 |
Number Of Female Beneficiaries |
807 |
Number Of Male Beneficiaries |
603 |
Number Of Non Hispanic White Beneficiaries |
1375 |
Number Of Black or African American Beneficiaries |
11 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1055 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
355 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4295 |