National Provider Identifier [NPI]: |
1487652392 |
Last Name Of The Provider |
HARDING |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
100 CARNIE BLVD |
Street Address 2 Of The Provider |
SUITE B-5 |
City Of The Provider |
VOORHEES |
Zip Code Of The Provider |
080434512 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
141 |
Number Of Services |
32256.2 |
Number Of Medicare Beneficiaries |
2326 |
Total Submitted Charge Amount |
2210828 |
Total Medicare Allowed Amount |
468702.88 |
Total Medicare Payment Amount |
357949.35 |
Total Medicare Standardized Payment Amount |
331289.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
29295.2 |
Number Of Medicare Beneficiaries With Drug Services |
392 |
Total Drug Submitted ChargeAmount |
33005 |
Total Drug Medicare AllowedAmount |
8204.76 |
Total Drug Medicare PaymentAmount |
6388.57 |
Total Drug Medicare Standardized Payment Amount |
6388.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
138 |
Number Of Medical Services |
2961 |
Number Of Medicare Beneficiaries With Medical Services |
2326 |
Total Medical Submitted Charge Amount |
2177823 |
Total Medical Medicare Allowed Amount |
460498.12 |
Total Medical Medicare Payment Amount |
351560.78 |
Total Medical Medicare Standardized Payment Amount |
324901.21 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
287 |
Number Of Beneficiaries Age 65 to 74 |
928 |
Number Of Beneficiaries Age 75 to 84 |
736 |
Number Of Beneficiaries Age Greater 84 |
375 |
Number Of Female Beneficiaries |
1347 |
Number Of Male Beneficiaries |
979 |
Number Of Non Hispanic White Beneficiaries |
2006 |
Number Of Black or African American Beneficiaries |
175 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
52 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
47 |
Number Of Beneficiaries With Medicare Only Entitlement |
2068 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
258 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.5251 |