National Provider Identifier [NPI]: |
1881691236 |
Last Name Of The Provider |
PENNY |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1074 S STATE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
DOVER |
Zip Code Of The Provider |
199016925 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
24965 |
Number Of Medicare Beneficiaries |
1321 |
Total Submitted Charge Amount |
1047853 |
Total Medicare Allowed Amount |
502482.58 |
Total Medicare Payment Amount |
373588.44 |
Total Medicare Standardized Payment Amount |
371284.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
22063 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
281816 |
Total Drug Medicare AllowedAmount |
186480.35 |
Total Drug Medicare PaymentAmount |
143759.9 |
Total Drug Medicare Standardized Payment Amount |
143759.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
2902 |
Number Of Medicare Beneficiaries With Medical Services |
1321 |
Total Medical Submitted Charge Amount |
766037 |
Total Medical Medicare Allowed Amount |
316002.23 |
Total Medical Medicare Payment Amount |
229828.54 |
Total Medical Medicare Standardized Payment Amount |
227524.92 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
293 |
Number Of Beneficiaries Age 65 to 74 |
498 |
Number Of Beneficiaries Age 75 to 84 |
391 |
Number Of Beneficiaries Age Greater 84 |
139 |
Number Of Female Beneficiaries |
801 |
Number Of Male Beneficiaries |
520 |
Number Of Non Hispanic White Beneficiaries |
1056 |
Number Of Black or African American Beneficiaries |
204 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1070 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
251 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.477 |