National Provider Identifier [NPI]: |
1194777466 |
Last Name Of The Provider |
HONIG |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1805 S BROAD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191482115 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
5834 |
Number Of Medicare Beneficiaries |
911 |
Total Submitted Charge Amount |
813818.49 |
Total Medicare Allowed Amount |
512364.02 |
Total Medicare Payment Amount |
388408.69 |
Total Medicare Standardized Payment Amount |
370177.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
224 |
Number Of Medicare Beneficiaries With Drug Services |
165 |
Total Drug Submitted ChargeAmount |
10581 |
Total Drug Medicare AllowedAmount |
5675.72 |
Total Drug Medicare PaymentAmount |
5486.41 |
Total Drug Medicare Standardized Payment Amount |
5486.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
5610 |
Number Of Medicare Beneficiaries With Medical Services |
910 |
Total Medical Submitted Charge Amount |
803237.49 |
Total Medical Medicare Allowed Amount |
506688.3 |
Total Medical Medicare Payment Amount |
382922.28 |
Total Medical Medicare Standardized Payment Amount |
364690.67 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
145 |
Number Of Beneficiaries Age 65 to 74 |
290 |
Number Of Beneficiaries Age 75 to 84 |
254 |
Number Of Beneficiaries Age Greater 84 |
222 |
Number Of Female Beneficiaries |
552 |
Number Of Male Beneficiaries |
359 |
Number Of Non Hispanic White Beneficiaries |
737 |
Number Of Black or African American Beneficiaries |
116 |
Number Of AsianPacific Islander Beneficiaries |
28 |
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 |
595 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
316 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.8828 |