National Provider Identifier [NPI]: |
1073515375 |
Last Name Of The Provider |
KURZROK |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
301 W CHESTER PIKE |
Street Address 2 Of The Provider |
STE 201 |
City Of The Provider |
HAVERTOWN |
Zip Code Of The Provider |
190834530 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
5014 |
Number Of Medicare Beneficiaries |
475 |
Total Submitted Charge Amount |
431076 |
Total Medicare Allowed Amount |
347531.95 |
Total Medicare Payment Amount |
269097.25 |
Total Medicare Standardized Payment Amount |
255191.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
245 |
Number Of Medicare Beneficiaries With Drug Services |
159 |
Total Drug Submitted ChargeAmount |
9036 |
Total Drug Medicare AllowedAmount |
5567.22 |
Total Drug Medicare PaymentAmount |
5424.05 |
Total Drug Medicare Standardized Payment Amount |
5424.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
4769 |
Number Of Medicare Beneficiaries With Medical Services |
475 |
Total Medical Submitted Charge Amount |
422040 |
Total Medical Medicare Allowed Amount |
341964.73 |
Total Medical Medicare Payment Amount |
263673.2 |
Total Medical Medicare Standardized Payment Amount |
249767.69 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
168 |
Number Of Beneficiaries Age 75 to 84 |
110 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
265 |
Number Of Male Beneficiaries |
210 |
Number Of Non Hispanic White Beneficiaries |
266 |
Number Of Black or African American Beneficiaries |
191 |
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 |
276 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
199 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.5693 |