National Provider Identifier [NPI]: |
1518997758 |
Last Name Of The Provider |
POSCH |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2019 S 6TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRAINERD |
Zip Code Of The Provider |
564014528 |
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 |
194 |
Number Of Services |
4081 |
Number Of Medicare Beneficiaries |
2402 |
Total Submitted Charge Amount |
432548.9 |
Total Medicare Allowed Amount |
116124.19 |
Total Medicare Payment Amount |
89310.24 |
Total Medicare Standardized Payment Amount |
92269.98 |
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 |
194 |
Number Of Medical Services |
4081 |
Number Of Medicare Beneficiaries With Medical Services |
2402 |
Total Medical Submitted Charge Amount |
432548.9 |
Total Medical Medicare Allowed Amount |
116124.19 |
Total Medical Medicare Payment Amount |
89310.24 |
Total Medical Medicare Standardized Payment Amount |
92269.98 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
575 |
Number Of Beneficiaries Age 65 to 74 |
752 |
Number Of Beneficiaries Age 75 to 84 |
725 |
Number Of Beneficiaries Age Greater 84 |
350 |
Number Of Female Beneficiaries |
1492 |
Number Of Male Beneficiaries |
910 |
Number Of Non Hispanic White Beneficiaries |
2280 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
81 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1721 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
681 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2158 |