National Provider Identifier [NPI]: |
1225198807 |
Last Name Of The Provider |
HOWLAND |
First Name Of The Provider |
VERA |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
30 MEDICAL CENTER BLVD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
CHESTER |
Zip Code Of The Provider |
190133955 |
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 |
37 |
Number Of Services |
5759 |
Number Of Medicare Beneficiaries |
301 |
Total Submitted Charge Amount |
301263 |
Total Medicare Allowed Amount |
204363.12 |
Total Medicare Payment Amount |
154050.69 |
Total Medicare Standardized Payment Amount |
149087.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
3836 |
Number Of Medicare Beneficiaries With Drug Services |
240 |
Total Drug Submitted ChargeAmount |
135973 |
Total Drug Medicare AllowedAmount |
73120.57 |
Total Drug Medicare PaymentAmount |
61627.4 |
Total Drug Medicare Standardized Payment Amount |
61627.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
1923 |
Number Of Medicare Beneficiaries With Medical Services |
301 |
Total Medical Submitted Charge Amount |
165290 |
Total Medical Medicare Allowed Amount |
131242.55 |
Total Medical Medicare Payment Amount |
92423.29 |
Total Medical Medicare Standardized Payment Amount |
87460.1 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
162 |
Number Of Beneficiaries Age 75 to 84 |
82 |
Number Of Beneficiaries Age Greater 84 |
40 |
Number Of Female Beneficiaries |
235 |
Number Of Male Beneficiaries |
66 |
Number Of Non Hispanic White Beneficiaries |
254 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
20 |
Percent Of With Osteoporosis |
27 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0357 |