National Provider Identifier [NPI]: |
1790773315 |
Last Name Of The Provider |
CRISCI |
First Name Of The Provider |
KRISTIN |
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 OLD YORK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ABINGTON |
Zip Code Of The Provider |
190013720 |
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 |
138 |
Number Of Services |
4426 |
Number Of Medicare Beneficiaries |
2945 |
Total Submitted Charge Amount |
577660 |
Total Medicare Allowed Amount |
119635.55 |
Total Medicare Payment Amount |
90610.44 |
Total Medicare Standardized Payment Amount |
87801.62 |
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 |
138 |
Number Of Medical Services |
4426 |
Number Of Medicare Beneficiaries With Medical Services |
2945 |
Total Medical Submitted Charge Amount |
577660 |
Total Medical Medicare Allowed Amount |
119635.55 |
Total Medical Medicare Payment Amount |
90610.44 |
Total Medical Medicare Standardized Payment Amount |
87801.62 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
362 |
Number Of Beneficiaries Age 65 to 74 |
942 |
Number Of Beneficiaries Age 75 to 84 |
844 |
Number Of Beneficiaries Age Greater 84 |
797 |
Number Of Female Beneficiaries |
1741 |
Number Of Male Beneficiaries |
1204 |
Number Of Non Hispanic White Beneficiaries |
2433 |
Number Of Black or African American Beneficiaries |
390 |
Number Of AsianPacific Islander Beneficiaries |
39 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
50 |
Number Of Beneficiaries With Medicare Only Entitlement |
2484 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
461 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.8271 |