National Provider Identifier [NPI]: |
1598899452 |
Last Name Of The Provider |
SHULMAN |
First Name Of The Provider |
SUZANNE |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
401 LIBERTY AVE STE 2000 |
Street Address 2 Of The Provider |
THREE GATEWAY CENTER, 20TH FLOOR |
City Of The Provider |
PITTSBURGH |
Zip Code Of The Provider |
152221029 |
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 |
159 |
Number Of Services |
3760 |
Number Of Medicare Beneficiaries |
2712 |
Total Submitted Charge Amount |
413281.76 |
Total Medicare Allowed Amount |
125124.52 |
Total Medicare Payment Amount |
96961.84 |
Total Medicare Standardized Payment Amount |
99766.28 |
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 |
159 |
Number Of Medical Services |
3760 |
Number Of Medicare Beneficiaries With Medical Services |
2712 |
Total Medical Submitted Charge Amount |
413281.76 |
Total Medical Medicare Allowed Amount |
125124.52 |
Total Medical Medicare Payment Amount |
96961.84 |
Total Medical Medicare Standardized Payment Amount |
99766.28 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
448 |
Number Of Beneficiaries Age 65 to 74 |
971 |
Number Of Beneficiaries Age 75 to 84 |
780 |
Number Of Beneficiaries Age Greater 84 |
513 |
Number Of Female Beneficiaries |
1777 |
Number Of Male Beneficiaries |
935 |
Number Of Non Hispanic White Beneficiaries |
2414 |
Number Of Black or African American Beneficiaries |
225 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
2069 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
643 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6601 |