| National Provider Identifier [NPI]: | 1346376845 |
| Last Name Of The Provider | ALLEN |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 112 WHITE HORSE PIKE |
| Street Address 2 Of The Provider | RT. 30 |
| City Of The Provider | HADDON HEIGHTS |
| Zip Code Of The Provider | 080351908 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 72 |
| Number Of Services | 24757 |
| Number Of Medicare Beneficiaries | 8784 |
| Total Submitted Charge Amount | 1395390 |
| Total Medicare Allowed Amount | 1310783.24 |
| Total Medicare Payment Amount | 1008075.68 |
| Total Medicare Standardized Payment Amount | 773271.85 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 38 |
| Number Of Medicare Beneficiaries With Drug Services | 37 |
| Total Drug Submitted ChargeAmount | 380 |
| Total Drug Medicare AllowedAmount | 68.56 |
| Total Drug Medicare PaymentAmount | 43.53 |
| Total Drug Medicare Standardized Payment Amount | 43.53 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 71 |
| Number Of Medical Services | 24719 |
| Number Of Medicare Beneficiaries With Medical Services | 8784 |
| Total Medical Submitted Charge Amount | 1395010 |
| Total Medical Medicare Allowed Amount | 1310714.68 |
| Total Medical Medicare Payment Amount | 1008032.15 |
| Total Medical Medicare Standardized Payment Amount | 773228.32 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 405 |
| Number Of Beneficiaries Age 65 to 74 | 4066 |
| Number Of Beneficiaries Age 75 to 84 | 2886 |
| Number Of Beneficiaries Age Greater 84 | 1427 |
| Number Of Female Beneficiaries | 4483 |
| Number Of Male Beneficiaries | 4301 |
| Number Of Non Hispanic White Beneficiaries | 8369 |
| Number Of Black or African American Beneficiaries | 176 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 75 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 132 |
| Number Of Beneficiaries With Medicare Only Entitlement | 8408 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 376 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 16 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 12 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 67 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 37 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.0096 |