National Provider Identifier [NPI]: |
1861443327 |
Last Name Of The Provider |
DUFFY |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 UNIVERSITY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
HERSHEY |
Zip Code Of The Provider |
170332360 |
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 |
201 |
Number Of Services |
6556 |
Number Of Medicare Beneficiaries |
3454 |
Total Submitted Charge Amount |
727835 |
Total Medicare Allowed Amount |
189848.55 |
Total Medicare Payment Amount |
145109.18 |
Total Medicare Standardized Payment Amount |
146215.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
201 |
Number Of Medical Services |
6556 |
Number Of Medicare Beneficiaries With Medical Services |
3454 |
Total Medical Submitted Charge Amount |
727835 |
Total Medical Medicare Allowed Amount |
189848.55 |
Total Medical Medicare Payment Amount |
145109.18 |
Total Medical Medicare Standardized Payment Amount |
146215.48 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
673 |
Number Of Beneficiaries Age 65 to 74 |
1093 |
Number Of Beneficiaries Age 75 to 84 |
1163 |
Number Of Beneficiaries Age Greater 84 |
525 |
Number Of Female Beneficiaries |
1956 |
Number Of Male Beneficiaries |
1498 |
Number Of Non Hispanic White Beneficiaries |
3047 |
Number Of Black or African American Beneficiaries |
264 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
68 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2546 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
908 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7592 |