National Provider Identifier [NPI]: |
1760417422 |
Last Name Of The Provider |
HARSHMAN |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
701 GROVE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GREENVILLE |
Zip Code Of The Provider |
296055611 |
State Code Of The Provider |
SC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
79 |
Number Of Services |
5702 |
Number Of Medicare Beneficiaries |
2058 |
Total Submitted Charge Amount |
563343.1 |
Total Medicare Allowed Amount |
176327.65 |
Total Medicare Payment Amount |
134778.32 |
Total Medicare Standardized Payment Amount |
136806.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2620 |
Number Of Medicare Beneficiaries With Drug Services |
32 |
Total Drug Submitted ChargeAmount |
1621.56 |
Total Drug Medicare AllowedAmount |
878.45 |
Total Drug Medicare PaymentAmount |
664.74 |
Total Drug Medicare Standardized Payment Amount |
664.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
3082 |
Number Of Medicare Beneficiaries With Medical Services |
2057 |
Total Medical Submitted Charge Amount |
561721.54 |
Total Medical Medicare Allowed Amount |
175449.2 |
Total Medical Medicare Payment Amount |
134113.58 |
Total Medical Medicare Standardized Payment Amount |
136141.9 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
368 |
Number Of Beneficiaries Age 65 to 74 |
634 |
Number Of Beneficiaries Age 75 to 84 |
598 |
Number Of Beneficiaries Age Greater 84 |
458 |
Number Of Female Beneficiaries |
1273 |
Number Of Male Beneficiaries |
785 |
Number Of Non Hispanic White Beneficiaries |
1438 |
Number Of Black or African American Beneficiaries |
233 |
Number Of AsianPacific Islander Beneficiaries |
33 |
Number Of Hispanic Beneficiaries |
326 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1441 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
617 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
27 |
Average HCC Risk Score Of Beneficiaries |
1.9948 |