National Provider Identifier [NPI]: |
1407047038 |
Last Name Of The Provider |
MALONEY |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4755 OGLETOWN STANTON RD |
Street Address 2 Of The Provider |
DEPARTMENT OF RADIOLOGY |
City Of The Provider |
NEWARK |
Zip Code Of The Provider |
197182200 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
131 |
Number Of Services |
7266 |
Number Of Medicare Beneficiaries |
4416 |
Total Submitted Charge Amount |
792185.23 |
Total Medicare Allowed Amount |
276394.34 |
Total Medicare Payment Amount |
209514.3 |
Total Medicare Standardized Payment Amount |
211565.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1286 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
2893.72 |
Total Drug Medicare AllowedAmount |
659.91 |
Total Drug Medicare PaymentAmount |
517.32 |
Total Drug Medicare Standardized Payment Amount |
517.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
128 |
Number Of Medical Services |
5980 |
Number Of Medicare Beneficiaries With Medical Services |
4409 |
Total Medical Submitted Charge Amount |
789291.51 |
Total Medical Medicare Allowed Amount |
275734.43 |
Total Medical Medicare Payment Amount |
208996.98 |
Total Medical Medicare Standardized Payment Amount |
211047.76 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
839 |
Number Of Beneficiaries Age 65 to 74 |
1741 |
Number Of Beneficiaries Age 75 to 84 |
1227 |
Number Of Beneficiaries Age Greater 84 |
609 |
Number Of Female Beneficiaries |
2495 |
Number Of Male Beneficiaries |
1921 |
Number Of Non Hispanic White Beneficiaries |
3374 |
Number Of Black or African American Beneficiaries |
823 |
Number Of AsianPacific Islander Beneficiaries |
54 |
Number Of Hispanic Beneficiaries |
113 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3504 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
912 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8127 |