National Provider Identifier [NPI]: |
1669435772 |
Last Name Of The Provider |
RAQUET |
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 |
900 BRYAN ST |
Street Address 2 Of The Provider |
SUITE 6 |
City Of The Provider |
HUNTINGDON |
Zip Code Of The Provider |
166522413 |
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 |
1381 |
Number Of Medicare Beneficiaries |
263 |
Total Submitted Charge Amount |
100842.37 |
Total Medicare Allowed Amount |
73312.69 |
Total Medicare Payment Amount |
53547.51 |
Total Medicare Standardized Payment Amount |
57087.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
211 |
Number Of Medicare Beneficiaries With Drug Services |
154 |
Total Drug Submitted ChargeAmount |
14318.25 |
Total Drug Medicare AllowedAmount |
7873.8 |
Total Drug Medicare PaymentAmount |
7676.39 |
Total Drug Medicare Standardized Payment Amount |
7676.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
1170 |
Number Of Medicare Beneficiaries With Medical Services |
263 |
Total Medical Submitted Charge Amount |
86524.12 |
Total Medical Medicare Allowed Amount |
65438.89 |
Total Medical Medicare Payment Amount |
45871.12 |
Total Medical Medicare Standardized Payment Amount |
49410.65 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
117 |
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
156 |
Number Of Male Beneficiaries |
107 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
212 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9801 |