National Provider Identifier [NPI]: |
1417948779 |
Last Name Of The Provider |
ENEA |
First Name Of The Provider |
NED |
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 |
5325 NORTHGATE DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
BETHLEHEM |
Zip Code Of The Provider |
180179411 |
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 |
157 |
Number Of Services |
7442 |
Number Of Medicare Beneficiaries |
1687 |
Total Submitted Charge Amount |
562481.6 |
Total Medicare Allowed Amount |
177991.09 |
Total Medicare Payment Amount |
140493.61 |
Total Medicare Standardized Payment Amount |
148993.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
5261 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
6364.6 |
Total Drug Medicare AllowedAmount |
1773.73 |
Total Drug Medicare PaymentAmount |
1390.48 |
Total Drug Medicare Standardized Payment Amount |
1390.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
154 |
Number Of Medical Services |
2181 |
Number Of Medicare Beneficiaries With Medical Services |
1687 |
Total Medical Submitted Charge Amount |
556117 |
Total Medical Medicare Allowed Amount |
176217.36 |
Total Medical Medicare Payment Amount |
139103.13 |
Total Medical Medicare Standardized Payment Amount |
147602.74 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
189 |
Number Of Beneficiaries Age 65 to 74 |
744 |
Number Of Beneficiaries Age 75 to 84 |
525 |
Number Of Beneficiaries Age Greater 84 |
229 |
Number Of Female Beneficiaries |
1116 |
Number Of Male Beneficiaries |
571 |
Number Of Non Hispanic White Beneficiaries |
1581 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1540 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
147 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0931 |