National Provider Identifier [NPI]: |
1043250202 |
Last Name Of The Provider |
SHUSTERMAN |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 FLORAL VALE BLVD |
Street Address 2 Of The Provider |
SUITE 125 |
City Of The Provider |
YARDLEY |
Zip Code Of The Provider |
190675569 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
5883 |
Number Of Medicare Beneficiaries |
1152 |
Total Submitted Charge Amount |
560270 |
Total Medicare Allowed Amount |
345982.46 |
Total Medicare Payment Amount |
261711.49 |
Total Medicare Standardized Payment Amount |
248490.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
2580 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
78695 |
Total Drug Medicare AllowedAmount |
69716.54 |
Total Drug Medicare PaymentAmount |
54949 |
Total Drug Medicare Standardized Payment Amount |
54949 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
3303 |
Number Of Medicare Beneficiaries With Medical Services |
1152 |
Total Medical Submitted Charge Amount |
481575 |
Total Medical Medicare Allowed Amount |
276265.92 |
Total Medical Medicare Payment Amount |
206762.49 |
Total Medical Medicare Standardized Payment Amount |
193541.24 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
188 |
Number Of Beneficiaries Age 65 to 74 |
470 |
Number Of Beneficiaries Age 75 to 84 |
299 |
Number Of Beneficiaries Age Greater 84 |
195 |
Number Of Female Beneficiaries |
618 |
Number Of Male Beneficiaries |
534 |
Number Of Non Hispanic White Beneficiaries |
1049 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
915 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
237 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
54 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8846 |