National Provider Identifier [NPI]: |
1629070222 |
Last Name Of The Provider |
SHAY |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2496 STIEGEL PIKE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SCHAEFFERSTOWN |
Zip Code Of The Provider |
170880455 |
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 |
40 |
Number Of Services |
1844 |
Number Of Medicare Beneficiaries |
277 |
Total Submitted Charge Amount |
134440.9 |
Total Medicare Allowed Amount |
91699.11 |
Total Medicare Payment Amount |
69377.48 |
Total Medicare Standardized Payment Amount |
72037.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
879 |
Number Of Medicare Beneficiaries With Drug Services |
114 |
Total Drug Submitted ChargeAmount |
26769.35 |
Total Drug Medicare AllowedAmount |
21587.02 |
Total Drug Medicare PaymentAmount |
18958.51 |
Total Drug Medicare Standardized Payment Amount |
18958.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
965 |
Number Of Medicare Beneficiaries With Medical Services |
277 |
Total Medical Submitted Charge Amount |
107671.55 |
Total Medical Medicare Allowed Amount |
70112.09 |
Total Medical Medicare Payment Amount |
50418.97 |
Total Medical Medicare Standardized Payment Amount |
53078.61 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
126 |
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
165 |
Number Of Male Beneficiaries |
112 |
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 |
256 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
|
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9329 |