National Provider Identifier [NPI]: |
1689640203 |
Last Name Of The Provider |
FRANCKEN |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3824 NOTHERN PIKE |
Street Address 2 Of The Provider |
STE 150 |
City Of The Provider |
MONROEVILLE |
Zip Code Of The Provider |
15146 |
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 |
170 |
Number Of Services |
4397 |
Number Of Medicare Beneficiaries |
2333 |
Total Submitted Charge Amount |
537107 |
Total Medicare Allowed Amount |
229249.16 |
Total Medicare Payment Amount |
173875.95 |
Total Medicare Standardized Payment Amount |
186644.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
540 |
Number Of Medicare Beneficiaries With Drug Services |
133 |
Total Drug Submitted ChargeAmount |
1942 |
Total Drug Medicare AllowedAmount |
970.21 |
Total Drug Medicare PaymentAmount |
758.06 |
Total Drug Medicare Standardized Payment Amount |
758.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
167 |
Number Of Medical Services |
3857 |
Number Of Medicare Beneficiaries With Medical Services |
2333 |
Total Medical Submitted Charge Amount |
535165 |
Total Medical Medicare Allowed Amount |
228278.95 |
Total Medical Medicare Payment Amount |
173117.89 |
Total Medical Medicare Standardized Payment Amount |
185886.28 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
365 |
Number Of Beneficiaries Age 65 to 74 |
865 |
Number Of Beneficiaries Age 75 to 84 |
641 |
Number Of Beneficiaries Age Greater 84 |
462 |
Number Of Female Beneficiaries |
1351 |
Number Of Male Beneficiaries |
982 |
Number Of Non Hispanic White Beneficiaries |
2207 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1989 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
344 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.3453 |