National Provider Identifier [NPI]: |
1053343368 |
Last Name Of The Provider |
LEVIN |
First Name Of The Provider |
NEIL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
51 N 39TH ST |
Street Address 2 Of The Provider |
4 PHL |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191042640 |
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 |
36 |
Number Of Services |
4188 |
Number Of Medicare Beneficiaries |
1966 |
Total Submitted Charge Amount |
2461230 |
Total Medicare Allowed Amount |
451904.23 |
Total Medicare Payment Amount |
342185.02 |
Total Medicare Standardized Payment Amount |
317081.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
139 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
13668 |
Total Drug Medicare AllowedAmount |
6893.49 |
Total Drug Medicare PaymentAmount |
5299.6 |
Total Drug Medicare Standardized Payment Amount |
5299.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
4049 |
Number Of Medicare Beneficiaries With Medical Services |
1966 |
Total Medical Submitted Charge Amount |
2447562 |
Total Medical Medicare Allowed Amount |
445010.74 |
Total Medical Medicare Payment Amount |
336885.42 |
Total Medical Medicare Standardized Payment Amount |
311781.96 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
222 |
Number Of Beneficiaries Age 65 to 74 |
807 |
Number Of Beneficiaries Age 75 to 84 |
639 |
Number Of Beneficiaries Age Greater 84 |
298 |
Number Of Female Beneficiaries |
883 |
Number Of Male Beneficiaries |
1083 |
Number Of Non Hispanic White Beneficiaries |
1538 |
Number Of Black or African American Beneficiaries |
335 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
1695 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
271 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7359 |