National Provider Identifier [NPI]: |
1598722472 |
Last Name Of The Provider |
GREER |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
21 INDUSTRIAL BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
PAOLI |
Zip Code Of The Provider |
193011610 |
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 |
35 |
Number Of Services |
4610 |
Number Of Medicare Beneficiaries |
883 |
Total Submitted Charge Amount |
586238 |
Total Medicare Allowed Amount |
418412.92 |
Total Medicare Payment Amount |
314449.75 |
Total Medicare Standardized Payment Amount |
299097.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
350 |
Number Of Medicare Beneficiaries With Drug Services |
280 |
Total Drug Submitted ChargeAmount |
14705 |
Total Drug Medicare AllowedAmount |
8994.07 |
Total Drug Medicare PaymentAmount |
8739.22 |
Total Drug Medicare Standardized Payment Amount |
8739.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
4260 |
Number Of Medicare Beneficiaries With Medical Services |
883 |
Total Medical Submitted Charge Amount |
571533 |
Total Medical Medicare Allowed Amount |
409418.85 |
Total Medical Medicare Payment Amount |
305710.53 |
Total Medical Medicare Standardized Payment Amount |
290357.83 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
364 |
Number Of Beneficiaries Age 75 to 84 |
347 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
475 |
Number Of Male Beneficiaries |
408 |
Number Of Non Hispanic White Beneficiaries |
849 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
872 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
16 |
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 |
16 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0289 |