National Provider Identifier [NPI]: |
1255300208 |
Last Name Of The Provider |
JOY |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 GUTHRIE SQ |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAYRE |
Zip Code Of The Provider |
188401625 |
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 |
162 |
Number Of Services |
7618 |
Number Of Medicare Beneficiaries |
2788 |
Total Submitted Charge Amount |
1004764.5 |
Total Medicare Allowed Amount |
172775.84 |
Total Medicare Payment Amount |
126811.29 |
Total Medicare Standardized Payment Amount |
132693.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
3430 |
Number Of Medicare Beneficiaries With Drug Services |
38 |
Total Drug Submitted ChargeAmount |
3227 |
Total Drug Medicare AllowedAmount |
1322.19 |
Total Drug Medicare PaymentAmount |
952.21 |
Total Drug Medicare Standardized Payment Amount |
952.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
159 |
Number Of Medical Services |
4188 |
Number Of Medicare Beneficiaries With Medical Services |
2788 |
Total Medical Submitted Charge Amount |
1001537.5 |
Total Medical Medicare Allowed Amount |
171453.65 |
Total Medical Medicare Payment Amount |
125859.08 |
Total Medical Medicare Standardized Payment Amount |
131741.77 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
515 |
Number Of Beneficiaries Age 65 to 74 |
1010 |
Number Of Beneficiaries Age 75 to 84 |
861 |
Number Of Beneficiaries Age Greater 84 |
402 |
Number Of Female Beneficiaries |
1569 |
Number Of Male Beneficiaries |
1219 |
Number Of Non Hispanic White Beneficiaries |
2707 |
Number Of Black or African American Beneficiaries |
27 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
2038 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
750 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4559 |