National Provider Identifier [NPI]: |
1386602514 |
Last Name Of The Provider |
NEWMAN |
First Name Of The Provider |
HEATHER |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 S CEDAR CREST BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALLENTOWN |
Zip Code Of The Provider |
181036202 |
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 |
101 |
Number Of Services |
3413 |
Number Of Medicare Beneficiaries |
2303 |
Total Submitted Charge Amount |
635096.17 |
Total Medicare Allowed Amount |
148196.3 |
Total Medicare Payment Amount |
112924.24 |
Total Medicare Standardized Payment Amount |
119763.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
327 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
2100 |
Total Drug Medicare AllowedAmount |
509.67 |
Total Drug Medicare PaymentAmount |
399.63 |
Total Drug Medicare Standardized Payment Amount |
399.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
99 |
Number Of Medical Services |
3086 |
Number Of Medicare Beneficiaries With Medical Services |
2303 |
Total Medical Submitted Charge Amount |
632996.17 |
Total Medical Medicare Allowed Amount |
147686.63 |
Total Medical Medicare Payment Amount |
112524.61 |
Total Medical Medicare Standardized Payment Amount |
119363.92 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
402 |
Number Of Beneficiaries Age 65 to 74 |
629 |
Number Of Beneficiaries Age 75 to 84 |
734 |
Number Of Beneficiaries Age Greater 84 |
538 |
Number Of Female Beneficiaries |
1322 |
Number Of Male Beneficiaries |
981 |
Number Of Non Hispanic White Beneficiaries |
2123 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
102 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1819 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
484 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
1.9419 |