National Provider Identifier [NPI]: |
1851365308 |
Last Name Of The Provider |
GRENA |
First Name Of The Provider |
PAUL |
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 OXFORD VALLEY RD |
Street Address 2 Of The Provider |
SUITE 901 |
City Of The Provider |
YARDLEY |
Zip Code Of The Provider |
190677706 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
3983 |
Number Of Medicare Beneficiaries |
1183 |
Total Submitted Charge Amount |
1104657.52 |
Total Medicare Allowed Amount |
361165.97 |
Total Medicare Payment Amount |
270850.44 |
Total Medicare Standardized Payment Amount |
257455.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
744 |
Number Of Medicare Beneficiaries With Drug Services |
127 |
Total Drug Submitted ChargeAmount |
1047.2 |
Total Drug Medicare AllowedAmount |
613.23 |
Total Drug Medicare PaymentAmount |
478.64 |
Total Drug Medicare Standardized Payment Amount |
478.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
3239 |
Number Of Medicare Beneficiaries With Medical Services |
1183 |
Total Medical Submitted Charge Amount |
1103610.32 |
Total Medical Medicare Allowed Amount |
360552.74 |
Total Medical Medicare Payment Amount |
270371.8 |
Total Medical Medicare Standardized Payment Amount |
256977.31 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
185 |
Number Of Beneficiaries Age 65 to 74 |
522 |
Number Of Beneficiaries Age 75 to 84 |
301 |
Number Of Beneficiaries Age Greater 84 |
175 |
Number Of Female Beneficiaries |
611 |
Number Of Male Beneficiaries |
572 |
Number Of Non Hispanic White Beneficiaries |
1064 |
Number Of Black or African American Beneficiaries |
66 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1006 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
177 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.5634 |