National Provider Identifier [NPI]: |
1689677650 |
Last Name Of The Provider |
EMMI |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
261 OLD YORK RD |
Street Address 2 Of The Provider |
STE 214 |
City Of The Provider |
JENKINTOWN |
Zip Code Of The Provider |
190463724 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
4248 |
Number Of Medicare Beneficiaries |
1503 |
Total Submitted Charge Amount |
714503 |
Total Medicare Allowed Amount |
335091.02 |
Total Medicare Payment Amount |
255268.68 |
Total Medicare Standardized Payment Amount |
242937.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
230 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
20490 |
Total Drug Medicare AllowedAmount |
12115.65 |
Total Drug Medicare PaymentAmount |
9454.23 |
Total Drug Medicare Standardized Payment Amount |
9454.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
4018 |
Number Of Medicare Beneficiaries With Medical Services |
1502 |
Total Medical Submitted Charge Amount |
694013 |
Total Medical Medicare Allowed Amount |
322975.37 |
Total Medical Medicare Payment Amount |
245814.45 |
Total Medical Medicare Standardized Payment Amount |
233482.92 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
125 |
Number Of Beneficiaries Age 65 to 74 |
529 |
Number Of Beneficiaries Age 75 to 84 |
462 |
Number Of Beneficiaries Age Greater 84 |
387 |
Number Of Female Beneficiaries |
786 |
Number Of Male Beneficiaries |
717 |
Number Of Non Hispanic White Beneficiaries |
1283 |
Number Of Black or African American Beneficiaries |
146 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1274 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
229 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7639 |