National Provider Identifier [NPI]: |
1215938998 |
Last Name Of The Provider |
SARNICKI |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
402 LEE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAMPTON |
Zip Code Of The Provider |
717448937 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
131 |
Number Of Services |
5559 |
Number Of Medicare Beneficiaries |
952 |
Total Submitted Charge Amount |
240346 |
Total Medicare Allowed Amount |
55168.24 |
Total Medicare Payment Amount |
49865.43 |
Total Medicare Standardized Payment Amount |
51925.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
102 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
1105 |
Total Drug Medicare AllowedAmount |
52.13 |
Total Drug Medicare PaymentAmount |
34.33 |
Total Drug Medicare Standardized Payment Amount |
34.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
123 |
Number Of Medical Services |
5457 |
Number Of Medicare Beneficiaries With Medical Services |
952 |
Total Medical Submitted Charge Amount |
239241 |
Total Medical Medicare Allowed Amount |
55116.11 |
Total Medical Medicare Payment Amount |
49831.1 |
Total Medical Medicare Standardized Payment Amount |
51891.18 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
373 |
Number Of Beneficiaries Age 65 to 74 |
313 |
Number Of Beneficiaries Age 75 to 84 |
185 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
564 |
Number Of Male Beneficiaries |
388 |
Number Of Non Hispanic White Beneficiaries |
592 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
520 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
432 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0699 |