National Provider Identifier [NPI]: |
1821097445 |
Last Name Of The Provider |
SECKLER |
First Name Of The Provider |
BENJAMIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 COLUMBIA ST |
Street Address 2 Of The Provider |
DRA IMAGING, P.C. |
City Of The Provider |
POUGHKEEPSIE |
Zip Code Of The Provider |
126013923 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
201 |
Number Of Services |
11839 |
Number Of Medicare Beneficiaries |
3452 |
Total Submitted Charge Amount |
1201212.94 |
Total Medicare Allowed Amount |
311821.29 |
Total Medicare Payment Amount |
239650.75 |
Total Medicare Standardized Payment Amount |
231920.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
5138 |
Number Of Medicare Beneficiaries With Drug Services |
96 |
Total Drug Submitted ChargeAmount |
2936.56 |
Total Drug Medicare AllowedAmount |
1728.65 |
Total Drug Medicare PaymentAmount |
1352.9 |
Total Drug Medicare Standardized Payment Amount |
1352.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
196 |
Number Of Medical Services |
6701 |
Number Of Medicare Beneficiaries With Medical Services |
3451 |
Total Medical Submitted Charge Amount |
1198276.38 |
Total Medical Medicare Allowed Amount |
310092.64 |
Total Medical Medicare Payment Amount |
238297.85 |
Total Medical Medicare Standardized Payment Amount |
230567.75 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
476 |
Number Of Beneficiaries Age 65 to 74 |
1262 |
Number Of Beneficiaries Age 75 to 84 |
1037 |
Number Of Beneficiaries Age Greater 84 |
677 |
Number Of Female Beneficiaries |
2122 |
Number Of Male Beneficiaries |
1330 |
Number Of Non Hispanic White Beneficiaries |
3086 |
Number Of Black or African American Beneficiaries |
147 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
109 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
76 |
Number Of Beneficiaries With Medicare Only Entitlement |
2662 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
790 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4895 |