National Provider Identifier [NPI]: |
1568424026 |
Last Name Of The Provider |
TASH |
First Name Of The Provider |
TIMOTHY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
30 LOCUST ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTHAMPTON |
Zip Code Of The Provider |
010602052 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
182 |
Number Of Services |
11574 |
Number Of Medicare Beneficiaries |
3254 |
Total Submitted Charge Amount |
1073780 |
Total Medicare Allowed Amount |
254275.93 |
Total Medicare Payment Amount |
199510.29 |
Total Medicare Standardized Payment Amount |
194609.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
6450 |
Number Of Medicare Beneficiaries With Drug Services |
67 |
Total Drug Submitted ChargeAmount |
7147 |
Total Drug Medicare AllowedAmount |
1928.52 |
Total Drug Medicare PaymentAmount |
1511.87 |
Total Drug Medicare Standardized Payment Amount |
1511.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
180 |
Number Of Medical Services |
5124 |
Number Of Medicare Beneficiaries With Medical Services |
3254 |
Total Medical Submitted Charge Amount |
1066633 |
Total Medical Medicare Allowed Amount |
252347.41 |
Total Medical Medicare Payment Amount |
197998.42 |
Total Medical Medicare Standardized Payment Amount |
193097.46 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
702 |
Number Of Beneficiaries Age 65 to 74 |
1207 |
Number Of Beneficiaries Age 75 to 84 |
780 |
Number Of Beneficiaries Age Greater 84 |
565 |
Number Of Female Beneficiaries |
2229 |
Number Of Male Beneficiaries |
1025 |
Number Of Non Hispanic White Beneficiaries |
3019 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
108 |
Number Of American Indian Alaska Native Beneficiaries |
19 |
Number Of Beneficiaries With Race Not Else where Classified |
45 |
Number Of Beneficiaries With Medicare Only Entitlement |
2388 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
866 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4639 |