National Provider Identifier [NPI]: |
1750353983 |
Last Name Of The Provider |
FREER |
First Name Of The Provider |
LAWRENCE |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD, PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 PENN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HANOVER |
Zip Code Of The Provider |
173311956 |
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 |
56 |
Number Of Services |
3992 |
Number Of Medicare Beneficiaries |
1383 |
Total Submitted Charge Amount |
331669.03 |
Total Medicare Allowed Amount |
178506.4 |
Total Medicare Payment Amount |
132105.37 |
Total Medicare Standardized Payment Amount |
137067.81 |
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 |
56 |
Number Of Medical Services |
3992 |
Number Of Medicare Beneficiaries With Medical Services |
1383 |
Total Medical Submitted Charge Amount |
331669.03 |
Total Medical Medicare Allowed Amount |
178506.4 |
Total Medical Medicare Payment Amount |
132105.37 |
Total Medical Medicare Standardized Payment Amount |
137067.81 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
406 |
Number Of Beneficiaries Age 75 to 84 |
513 |
Number Of Beneficiaries Age Greater 84 |
374 |
Number Of Female Beneficiaries |
721 |
Number Of Male Beneficiaries |
662 |
Number Of Non Hispanic White Beneficiaries |
1363 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
1261 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
122 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5554 |