| National Provider Identifier [NPI]: | 1427155167 |
| Last Name Of The Provider | WHITE |
| First Name Of The Provider | ROBERT |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1 COOPER PLZ |
| Street Address 2 Of The Provider | COOPER UNIVERISTY RADIOLOGY |
| City Of The Provider | CAMDEN |
| Zip Code Of The Provider | 081031461 |
| 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 | 160 |
| Number Of Services | 28460 |
| Number Of Medicare Beneficiaries | 3435 |
| Total Submitted Charge Amount | 1342939 |
| Total Medicare Allowed Amount | 370053.85 |
| Total Medicare Payment Amount | 281703.19 |
| Total Medicare Standardized Payment Amount | 267459.58 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 23460 |
| Number Of Medicare Beneficiaries With Drug Services | 142 |
| Total Drug Submitted ChargeAmount | 31244 |
| Total Drug Medicare AllowedAmount | 19581.1 |
| Total Drug Medicare PaymentAmount | 15329.35 |
| Total Drug Medicare Standardized Payment Amount | 15329.35 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 157 |
| Number Of Medical Services | 5000 |
| Number Of Medicare Beneficiaries With Medical Services | 3435 |
| Total Medical Submitted Charge Amount | 1311695 |
| Total Medical Medicare Allowed Amount | 350472.75 |
| Total Medical Medicare Payment Amount | 266373.84 |
| Total Medical Medicare Standardized Payment Amount | 252130.23 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 414 |
| Number Of Beneficiaries Age 65 to 74 | 1151 |
| Number Of Beneficiaries Age 75 to 84 | 1051 |
| Number Of Beneficiaries Age Greater 84 | 819 |
| Number Of Female Beneficiaries | 2064 |
| Number Of Male Beneficiaries | 1371 |
| Number Of Non Hispanic White Beneficiaries | 2875 |
| Number Of Black or African American Beneficiaries | 376 |
| Number Of AsianPacific Islander Beneficiaries | 57 |
| Number Of Hispanic Beneficiaries | 75 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 52 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2898 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 537 |
| Percent Of With Atrial Fibrillation | 22 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 1.7348 |