| National Provider Identifier [NPI]: | 1235115601 |
| Last Name Of The Provider | SLATTERY |
| First Name Of The Provider | THOMAS |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 250 KING OF PRUSSIA RD |
| Street Address 2 Of The Provider | 3RD FL. |
| City Of The Provider | RADNOR |
| Zip Code Of The Provider | 190875235 |
| 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 | 164 |
| Number Of Services | 11792.2 |
| Number Of Medicare Beneficiaries | 2849 |
| Total Submitted Charge Amount | 1293967 |
| Total Medicare Allowed Amount | 305141.28 |
| Total Medicare Payment Amount | 232708.95 |
| Total Medicare Standardized Payment Amount | 218734.05 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 7829.2 |
| Number Of Medicare Beneficiaries With Drug Services | 112 |
| Total Drug Submitted ChargeAmount | 9124 |
| Total Drug Medicare AllowedAmount | 2209.75 |
| Total Drug Medicare PaymentAmount | 1724.72 |
| Total Drug Medicare Standardized Payment Amount | 1724.72 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 161 |
| Number Of Medical Services | 3963 |
| Number Of Medicare Beneficiaries With Medical Services | 2849 |
| Total Medical Submitted Charge Amount | 1284843 |
| Total Medical Medicare Allowed Amount | 302931.53 |
| Total Medical Medicare Payment Amount | 230984.23 |
| Total Medical Medicare Standardized Payment Amount | 217009.33 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 366 |
| Number Of Beneficiaries Age 65 to 74 | 1100 |
| Number Of Beneficiaries Age 75 to 84 | 802 |
| Number Of Beneficiaries Age Greater 84 | 581 |
| Number Of Female Beneficiaries | 1755 |
| Number Of Male Beneficiaries | 1094 |
| Number Of Non Hispanic White Beneficiaries | 2457 |
| Number Of Black or African American Beneficiaries | 231 |
| Number Of AsianPacific Islander Beneficiaries | 48 |
| Number Of Hispanic Beneficiaries | 74 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2421 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 428 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 19 |
| Percent Of With Asthma | 14 |
| 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 | 25 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.7073 |