National Provider Identifier [NPI]: |
1851318307 |
Last Name Of The Provider |
PEARLSTEIN |
First Name Of The Provider |
PHILIP |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1019 W MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORRISTOWN |
Zip Code Of The Provider |
194014406 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
1990 |
Number Of Medicare Beneficiaries |
111 |
Total Submitted Charge Amount |
142486 |
Total Medicare Allowed Amount |
106756.32 |
Total Medicare Payment Amount |
80919.94 |
Total Medicare Standardized Payment Amount |
76118.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
236 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
3405 |
Total Drug Medicare AllowedAmount |
939.63 |
Total Drug Medicare PaymentAmount |
809.02 |
Total Drug Medicare Standardized Payment Amount |
809.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
1754 |
Number Of Medicare Beneficiaries With Medical Services |
111 |
Total Medical Submitted Charge Amount |
139081 |
Total Medical Medicare Allowed Amount |
105816.69 |
Total Medical Medicare Payment Amount |
80110.92 |
Total Medical Medicare Standardized Payment Amount |
75309.67 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
44 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
68 |
Number Of Male Beneficiaries |
43 |
Number Of Non Hispanic White Beneficiaries |
88 |
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 |
78 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
33 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
59 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2408 |