| National Provider Identifier [NPI]: | 1770551616 |
| Last Name Of The Provider | RICCARDI |
| First Name Of The Provider | JAY |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 425 BRIGHTON ST |
| Street Address 2 Of The Provider | #303 |
| City Of The Provider | BETHLEHEM |
| Zip Code Of The Provider | 180151273 |
| 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 | 155 |
| Number Of Services | 5707 |
| Number Of Medicare Beneficiaries | 3528 |
| Total Submitted Charge Amount | 650506 |
| Total Medicare Allowed Amount | 166141.47 |
| Total Medicare Payment Amount | 126623.03 |
| Total Medicare Standardized Payment Amount | 129376.92 |
| 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 | 155 |
| Number Of Medical Services | 5707 |
| Number Of Medicare Beneficiaries With Medical Services | 3528 |
| Total Medical Submitted Charge Amount | 650506 |
| Total Medical Medicare Allowed Amount | 166141.47 |
| Total Medical Medicare Payment Amount | 126623.03 |
| Total Medical Medicare Standardized Payment Amount | 129376.92 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 521 |
| Number Of Beneficiaries Age 65 to 74 | 1200 |
| Number Of Beneficiaries Age 75 to 84 | 1036 |
| Number Of Beneficiaries Age Greater 84 | 771 |
| Number Of Female Beneficiaries | 2057 |
| Number Of Male Beneficiaries | 1471 |
| Number Of Non Hispanic White Beneficiaries | 3163 |
| Number Of Black or African American Beneficiaries | 108 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 194 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 37 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2848 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 680 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 37 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 45 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.7277 |