National Provider Identifier [NPI]: |
1659310266 |
Last Name Of The Provider |
DWYER |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12500 WILLOWBROOK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CUMBERLAND |
Zip Code Of The Provider |
215026393 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
222 |
Number Of Services |
8546 |
Number Of Medicare Beneficiaries |
4533 |
Total Submitted Charge Amount |
1267273.57 |
Total Medicare Allowed Amount |
341779.64 |
Total Medicare Payment Amount |
260886.13 |
Total Medicare Standardized Payment Amount |
257036.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
882 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
7938 |
Total Drug Medicare AllowedAmount |
1959.82 |
Total Drug Medicare PaymentAmount |
1536.47 |
Total Drug Medicare Standardized Payment Amount |
1536.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
221 |
Number Of Medical Services |
7664 |
Number Of Medicare Beneficiaries With Medical Services |
4533 |
Total Medical Submitted Charge Amount |
1259335.57 |
Total Medical Medicare Allowed Amount |
339819.82 |
Total Medical Medicare Payment Amount |
259349.66 |
Total Medical Medicare Standardized Payment Amount |
255499.76 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
805 |
Number Of Beneficiaries Age 65 to 74 |
1817 |
Number Of Beneficiaries Age 75 to 84 |
1300 |
Number Of Beneficiaries Age Greater 84 |
611 |
Number Of Female Beneficiaries |
2821 |
Number Of Male Beneficiaries |
1712 |
Number Of Non Hispanic White Beneficiaries |
4403 |
Number Of Black or African American Beneficiaries |
78 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
3260 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1273 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4433 |