National Provider Identifier [NPI]: |
1447220272 |
Last Name Of The Provider |
MORRIS |
First Name Of The Provider |
KENNETH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2373 PASQUALONE BOULEVARD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BENSALEM |
Zip Code Of The Provider |
19020 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
2830 |
Number Of Medicare Beneficiaries |
394 |
Total Submitted Charge Amount |
225875 |
Total Medicare Allowed Amount |
172029.92 |
Total Medicare Payment Amount |
125374.53 |
Total Medicare Standardized Payment Amount |
118883.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
286 |
Number Of Medicare Beneficiaries With Drug Services |
192 |
Total Drug Submitted ChargeAmount |
15905 |
Total Drug Medicare AllowedAmount |
11243.16 |
Total Drug Medicare PaymentAmount |
10844.37 |
Total Drug Medicare Standardized Payment Amount |
10844.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
2544 |
Number Of Medicare Beneficiaries With Medical Services |
394 |
Total Medical Submitted Charge Amount |
209970 |
Total Medical Medicare Allowed Amount |
160786.76 |
Total Medical Medicare Payment Amount |
114530.16 |
Total Medical Medicare Standardized Payment Amount |
108038.83 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
260 |
Number Of Beneficiaries Age 75 to 84 |
58 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
217 |
Number Of Male Beneficiaries |
177 |
Number Of Non Hispanic White Beneficiaries |
344 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
352 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
42 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.9665 |