National Provider Identifier [NPI]: |
1376580456 |
Last Name Of The Provider |
FELINS |
First Name Of The Provider |
RAYMOND |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
260 DALEVILLE HWY |
Street Address 2 Of The Provider |
STE 103 |
City Of The Provider |
COVINGTON TWP |
Zip Code Of The Provider |
184447951 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
1086 |
Number Of Medicare Beneficiaries |
313 |
Total Submitted Charge Amount |
118569 |
Total Medicare Allowed Amount |
70377.72 |
Total Medicare Payment Amount |
48004.16 |
Total Medicare Standardized Payment Amount |
51014.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
135 |
Number Of Medicare Beneficiaries With Drug Services |
116 |
Total Drug Submitted ChargeAmount |
10875 |
Total Drug Medicare AllowedAmount |
4573.24 |
Total Drug Medicare PaymentAmount |
4370.45 |
Total Drug Medicare Standardized Payment Amount |
4370.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
951 |
Number Of Medicare Beneficiaries With Medical Services |
313 |
Total Medical Submitted Charge Amount |
107694 |
Total Medical Medicare Allowed Amount |
65804.48 |
Total Medical Medicare Payment Amount |
43633.71 |
Total Medical Medicare Standardized Payment Amount |
46644.29 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
138 |
Number Of Beneficiaries Age 75 to 84 |
93 |
Number Of Beneficiaries Age Greater 84 |
29 |
Number Of Female Beneficiaries |
159 |
Number Of Male Beneficiaries |
154 |
Number Of Non Hispanic White Beneficiaries |
293 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
286 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8999 |