| National Provider Identifier [NPI]: | 1790714111 |
| Last Name Of The Provider | COLE |
| First Name Of The Provider | ANDREW |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 425 BRIGHTON ST |
| Street Address 2 Of The Provider | #303 |
| City Of The Provider | BETHLEHEM |
| Zip Code Of The Provider | 180151273 |
| State Code Of The Provider | PA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 150 |
| Number Of Services | 7514 |
| Number Of Medicare Beneficiaries | 4581 |
| Total Submitted Charge Amount | 691110 |
| Total Medicare Allowed Amount | 177050.04 |
| Total Medicare Payment Amount | 139189.19 |
| Total Medicare Standardized Payment Amount | 142447.9 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 150 |
| Number Of Medical Services | 7514 |
| Number Of Medicare Beneficiaries With Medical Services | 4581 |
| Total Medical Submitted Charge Amount | 691110 |
| Total Medical Medicare Allowed Amount | 177050.04 |
| Total Medical Medicare Payment Amount | 139189.19 |
| Total Medical Medicare Standardized Payment Amount | 142447.9 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 690 |
| Number Of Beneficiaries Age 65 to 74 | 1623 |
| Number Of Beneficiaries Age 75 to 84 | 1351 |
| Number Of Beneficiaries Age Greater 84 | 917 |
| Number Of Female Beneficiaries | 2930 |
| Number Of Male Beneficiaries | 1651 |
| Number Of Non Hispanic White Beneficiaries | 4065 |
| Number Of Black or African American Beneficiaries | 110 |
| Number Of AsianPacific Islander Beneficiaries | 43 |
| Number Of Hispanic Beneficiaries | 319 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 44 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3635 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 946 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 27 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.6424 |