| National Provider Identifier [NPI]: | 1932216041 |
| Last Name Of The Provider | STEIN |
| First Name Of The Provider | DEBORAH |
| Middle Initial Of The Provider | L |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 255 W LANCASTER AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | PAOLI |
| Zip Code Of The Provider | 193011763 |
| 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 | 127 |
| Number Of Services | 5767 |
| Number Of Medicare Beneficiaries | 3610 |
| Total Submitted Charge Amount | 1403610.54 |
| Total Medicare Allowed Amount | 289931.76 |
| Total Medicare Payment Amount | 224763.12 |
| Total Medicare Standardized Payment Amount | 217763.66 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 819 |
| Number Of Medicare Beneficiaries With Drug Services | 84 |
| Total Drug Submitted ChargeAmount | 3593.54 |
| Total Drug Medicare AllowedAmount | 396.38 |
| Total Drug Medicare PaymentAmount | 310.74 |
| Total Drug Medicare Standardized Payment Amount | 310.74 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 125 |
| Number Of Medical Services | 4948 |
| Number Of Medicare Beneficiaries With Medical Services | 3610 |
| Total Medical Submitted Charge Amount | 1400017 |
| Total Medical Medicare Allowed Amount | 289535.38 |
| Total Medical Medicare Payment Amount | 224452.38 |
| Total Medical Medicare Standardized Payment Amount | 217452.92 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 417 |
| Number Of Beneficiaries Age 65 to 74 | 1313 |
| Number Of Beneficiaries Age 75 to 84 | 1112 |
| Number Of Beneficiaries Age Greater 84 | 768 |
| Number Of Female Beneficiaries | 2105 |
| Number Of Male Beneficiaries | 1505 |
| Number Of Non Hispanic White Beneficiaries | 2788 |
| Number Of Black or African American Beneficiaries | 697 |
| Number Of AsianPacific Islander Beneficiaries | 44 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 51 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3043 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 567 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 16 |
| Average HCC Risk Score Of Beneficiaries | 1.7524 |