National Provider Identifier [NPI]: |
1457325086 |
Last Name Of The Provider |
SPIRN |
First Name Of The Provider |
MARC |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4060 BUTLER PIKE |
Street Address 2 Of The Provider |
SUITE200 |
City Of The Provider |
PLYMOUTH MEETING |
Zip Code Of The Provider |
194621560 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
23560 |
Number Of Medicare Beneficiaries |
1756 |
Total Submitted Charge Amount |
16672639.32 |
Total Medicare Allowed Amount |
6770127.97 |
Total Medicare Payment Amount |
5257308.28 |
Total Medicare Standardized Payment Amount |
5182528.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
12451 |
Number Of Medicare Beneficiaries With Drug Services |
509 |
Total Drug Submitted ChargeAmount |
12853633 |
Total Drug Medicare AllowedAmount |
5535410.48 |
Total Drug Medicare PaymentAmount |
4337861.72 |
Total Drug Medicare Standardized Payment Amount |
4337861.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
11109 |
Number Of Medicare Beneficiaries With Medical Services |
1756 |
Total Medical Submitted Charge Amount |
3819006.32 |
Total Medical Medicare Allowed Amount |
1234717.49 |
Total Medical Medicare Payment Amount |
919446.56 |
Total Medical Medicare Standardized Payment Amount |
844666.69 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
139 |
Number Of Beneficiaries Age 65 to 74 |
673 |
Number Of Beneficiaries Age 75 to 84 |
564 |
Number Of Beneficiaries Age Greater 84 |
380 |
Number Of Female Beneficiaries |
1001 |
Number Of Male Beneficiaries |
755 |
Number Of Non Hispanic White Beneficiaries |
1532 |
Number Of Black or African American Beneficiaries |
110 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
60 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
1582 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
174 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4122 |