National Provider Identifier [NPI]: |
1841271970 |
Last Name Of The Provider |
FRIEDENBERG |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
S |
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 |
163 |
Number Of Services |
9346 |
Number Of Medicare Beneficiaries |
2174 |
Total Submitted Charge Amount |
778317.75 |
Total Medicare Allowed Amount |
233555.89 |
Total Medicare Payment Amount |
184578.47 |
Total Medicare Standardized Payment Amount |
196236.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
6467 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
8504.75 |
Total Drug Medicare AllowedAmount |
2380.31 |
Total Drug Medicare PaymentAmount |
1866.06 |
Total Drug Medicare Standardized Payment Amount |
1866.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
159 |
Number Of Medical Services |
2879 |
Number Of Medicare Beneficiaries With Medical Services |
2174 |
Total Medical Submitted Charge Amount |
769813 |
Total Medical Medicare Allowed Amount |
231175.58 |
Total Medical Medicare Payment Amount |
182712.41 |
Total Medical Medicare Standardized Payment Amount |
194370.83 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
246 |
Number Of Beneficiaries Age 65 to 74 |
932 |
Number Of Beneficiaries Age 75 to 84 |
713 |
Number Of Beneficiaries Age Greater 84 |
283 |
Number Of Female Beneficiaries |
1390 |
Number Of Male Beneficiaries |
784 |
Number Of Non Hispanic White Beneficiaries |
2032 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
65 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
2010 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
164 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1264 |