National Provider Identifier [NPI]: |
1871592196 |
Last Name Of The Provider |
OSKIN |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 STATE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ERIE |
Zip Code Of The Provider |
165500002 |
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 |
159 |
Number Of Services |
3017 |
Number Of Medicare Beneficiaries |
1893 |
Total Submitted Charge Amount |
547143 |
Total Medicare Allowed Amount |
143404.23 |
Total Medicare Payment Amount |
110667.74 |
Total Medicare Standardized Payment Amount |
114041.42 |
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 |
159 |
Number Of Medical Services |
3017 |
Number Of Medicare Beneficiaries With Medical Services |
1893 |
Total Medical Submitted Charge Amount |
547143 |
Total Medical Medicare Allowed Amount |
143404.23 |
Total Medical Medicare Payment Amount |
110667.74 |
Total Medical Medicare Standardized Payment Amount |
114041.42 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
454 |
Number Of Beneficiaries Age 65 to 74 |
602 |
Number Of Beneficiaries Age 75 to 84 |
503 |
Number Of Beneficiaries Age Greater 84 |
334 |
Number Of Female Beneficiaries |
1086 |
Number Of Male Beneficiaries |
807 |
Number Of Non Hispanic White Beneficiaries |
1733 |
Number Of Black or African American Beneficiaries |
111 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1318 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
575 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
1.6772 |