| National Provider Identifier [NPI]: | 1215985049 |
| Last Name Of The Provider | FANG |
| First Name Of The Provider | PETER |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 25 PENNCRAFT AVE |
| Street Address 2 Of The Provider | SUITE E |
| City Of The Provider | CHAMBERSBURG |
| Zip Code Of The Provider | 172015600 |
| 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 | 154 |
| Number Of Services | 5678 |
| Number Of Medicare Beneficiaries | 3585 |
| Total Submitted Charge Amount | 514591 |
| Total Medicare Allowed Amount | 151541.3 |
| Total Medicare Payment Amount | 116782.62 |
| Total Medicare Standardized Payment Amount | 120460.51 |
| 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 | 154 |
| Number Of Medical Services | 5678 |
| Number Of Medicare Beneficiaries With Medical Services | 3585 |
| Total Medical Submitted Charge Amount | 514591 |
| Total Medical Medicare Allowed Amount | 151541.3 |
| Total Medical Medicare Payment Amount | 116782.62 |
| Total Medical Medicare Standardized Payment Amount | 120460.51 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 574 |
| Number Of Beneficiaries Age 65 to 74 | 1177 |
| Number Of Beneficiaries Age 75 to 84 | 1116 |
| Number Of Beneficiaries Age Greater 84 | 718 |
| Number Of Female Beneficiaries | 2269 |
| Number Of Male Beneficiaries | 1316 |
| Number Of Non Hispanic White Beneficiaries | 3423 |
| Number Of Black or African American Beneficiaries | 85 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 43 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2785 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 800 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5821 |