National Provider Identifier [NPI]: |
1396777496 |
Last Name Of The Provider |
FRIEDMAN |
First Name Of The Provider |
OREN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2701 HOLME AVE |
Street Address 2 Of The Provider |
STE 304 |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
19152 |
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 |
27 |
Number Of Services |
3232 |
Number Of Medicare Beneficiaries |
1202 |
Total Submitted Charge Amount |
388023.7 |
Total Medicare Allowed Amount |
194439.13 |
Total Medicare Payment Amount |
149550.82 |
Total Medicare Standardized Payment Amount |
140548.21 |
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 |
27 |
Number Of Medical Services |
3232 |
Number Of Medicare Beneficiaries With Medical Services |
1202 |
Total Medical Submitted Charge Amount |
388023.7 |
Total Medical Medicare Allowed Amount |
194439.13 |
Total Medical Medicare Payment Amount |
149550.82 |
Total Medical Medicare Standardized Payment Amount |
140548.21 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
211 |
Number Of Beneficiaries Age 65 to 74 |
311 |
Number Of Beneficiaries Age 75 to 84 |
308 |
Number Of Beneficiaries Age Greater 84 |
372 |
Number Of Female Beneficiaries |
715 |
Number Of Male Beneficiaries |
487 |
Number Of Non Hispanic White Beneficiaries |
992 |
Number Of Black or African American Beneficiaries |
113 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
50 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
682 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
520 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
38 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
74 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
2.3439 |