National Provider Identifier [NPI]: |
1992783369 |
Last Name Of The Provider |
NATHAN |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 1ST ST SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCHESTER |
Zip Code Of The Provider |
559050001 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
130 |
Number Of Services |
35558 |
Number Of Medicare Beneficiaries |
2024 |
Total Submitted Charge Amount |
340528.99 |
Total Medicare Allowed Amount |
243108.06 |
Total Medicare Payment Amount |
183509.71 |
Total Medicare Standardized Payment Amount |
196912.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
32415 |
Number Of Medicare Beneficiaries With Drug Services |
242 |
Total Drug Submitted ChargeAmount |
7392.04 |
Total Drug Medicare AllowedAmount |
6069.44 |
Total Drug Medicare PaymentAmount |
4373.23 |
Total Drug Medicare Standardized Payment Amount |
4373.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
127 |
Number Of Medical Services |
3143 |
Number Of Medicare Beneficiaries With Medical Services |
2024 |
Total Medical Submitted Charge Amount |
333136.95 |
Total Medical Medicare Allowed Amount |
237038.62 |
Total Medical Medicare Payment Amount |
179136.48 |
Total Medical Medicare Standardized Payment Amount |
192539.02 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
309 |
Number Of Beneficiaries Age 65 to 74 |
804 |
Number Of Beneficiaries Age 75 to 84 |
635 |
Number Of Beneficiaries Age Greater 84 |
276 |
Number Of Female Beneficiaries |
966 |
Number Of Male Beneficiaries |
1058 |
Number Of Non Hispanic White Beneficiaries |
1917 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
1739 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
285 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.773 |