National Provider Identifier [NPI]: |
1609874551 |
Last Name Of The Provider |
CURTIS |
First Name Of The Provider |
PAUL |
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 |
197 |
Number Of Services |
6560.5 |
Number Of Medicare Beneficiaries |
1697 |
Total Submitted Charge Amount |
766021 |
Total Medicare Allowed Amount |
161641.65 |
Total Medicare Payment Amount |
125014.6 |
Total Medicare Standardized Payment Amount |
118373.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
4000.5 |
Number Of Medicare Beneficiaries With Drug Services |
35 |
Total Drug Submitted ChargeAmount |
4654 |
Total Drug Medicare AllowedAmount |
936.34 |
Total Drug Medicare PaymentAmount |
734.04 |
Total Drug Medicare Standardized Payment Amount |
734.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
195 |
Number Of Medical Services |
2560 |
Number Of Medicare Beneficiaries With Medical Services |
1697 |
Total Medical Submitted Charge Amount |
761367 |
Total Medical Medicare Allowed Amount |
160705.31 |
Total Medical Medicare Payment Amount |
124280.56 |
Total Medical Medicare Standardized Payment Amount |
117639.91 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
239 |
Number Of Beneficiaries Age 65 to 74 |
517 |
Number Of Beneficiaries Age 75 to 84 |
529 |
Number Of Beneficiaries Age Greater 84 |
412 |
Number Of Female Beneficiaries |
981 |
Number Of Male Beneficiaries |
716 |
Number Of Non Hispanic White Beneficiaries |
1409 |
Number Of Black or African American Beneficiaries |
200 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1404 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
293 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
21 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
25 |
Average HCC Risk Score Of Beneficiaries |
2.1481 |