National Provider Identifier [NPI]: |
1164459079 |
Last Name Of The Provider |
CHON |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3674 ROUTE 27 PRINCETON RADIOLOGY ASSOCIATES |
Street Address 2 Of The Provider |
PRINCETON RADIOLOGY ASSOCIATES DEPT B |
City Of The Provider |
KENDALL PARK |
Zip Code Of The Provider |
08824 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Radiation Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
4668 |
Number Of Medicare Beneficiaries |
414 |
Total Submitted Charge Amount |
11569864 |
Total Medicare Allowed Amount |
1988742.62 |
Total Medicare Payment Amount |
1556897.79 |
Total Medicare Standardized Payment Amount |
1502236.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
83 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
32295 |
Total Drug Medicare AllowedAmount |
5098.36 |
Total Drug Medicare PaymentAmount |
3910.71 |
Total Drug Medicare Standardized Payment Amount |
3910.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
4585 |
Number Of Medicare Beneficiaries With Medical Services |
414 |
Total Medical Submitted Charge Amount |
11537569 |
Total Medical Medicare Allowed Amount |
1983644.26 |
Total Medical Medicare Payment Amount |
1552987.08 |
Total Medical Medicare Standardized Payment Amount |
1498325.71 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
211 |
Number Of Beneficiaries Age 75 to 84 |
128 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
132 |
Number Of Male Beneficiaries |
282 |
Number Of Non Hispanic White Beneficiaries |
344 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
386 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
71 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5901 |