National Provider Identifier [NPI]: |
1831142439 |
Last Name Of The Provider |
SZCZYKUTOWICZ |
First Name Of The Provider |
PAWEL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7300 SUSAN SPRINGS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST CHESTER |
Zip Code Of The Provider |
450694082 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
4214 |
Number Of Medicare Beneficiaries |
697 |
Total Submitted Charge Amount |
499845 |
Total Medicare Allowed Amount |
333049.36 |
Total Medicare Payment Amount |
247249.53 |
Total Medicare Standardized Payment Amount |
258963.57 |
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 |
18 |
Number Of Medical Services |
4214 |
Number Of Medicare Beneficiaries With Medical Services |
697 |
Total Medical Submitted Charge Amount |
499845 |
Total Medical Medicare Allowed Amount |
333049.36 |
Total Medical Medicare Payment Amount |
247249.53 |
Total Medical Medicare Standardized Payment Amount |
258963.57 |
Average Age Of Beneficiaries |
83 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
88 |
Number Of Beneficiaries Age 75 to 84 |
225 |
Number Of Beneficiaries Age Greater 84 |
368 |
Number Of Female Beneficiaries |
517 |
Number Of Male Beneficiaries |
180 |
Number Of Non Hispanic White Beneficiaries |
641 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
496 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
201 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
54 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.0325 |