National Provider Identifier [NPI]: |
1730155474 |
Last Name Of The Provider |
CHOE |
First Name Of The Provider |
ANGELA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
555 N DUKE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
176022250 |
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 |
133 |
Number Of Services |
8578 |
Number Of Medicare Beneficiaries |
4376 |
Total Submitted Charge Amount |
650889.26 |
Total Medicare Allowed Amount |
193791.5 |
Total Medicare Payment Amount |
145528.78 |
Total Medicare Standardized Payment Amount |
152508.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1923 |
Number Of Medicare Beneficiaries With Drug Services |
94 |
Total Drug Submitted ChargeAmount |
3230.26 |
Total Drug Medicare AllowedAmount |
2897.14 |
Total Drug Medicare PaymentAmount |
2251.3 |
Total Drug Medicare Standardized Payment Amount |
2251.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
131 |
Number Of Medical Services |
6655 |
Number Of Medicare Beneficiaries With Medical Services |
4376 |
Total Medical Submitted Charge Amount |
647659 |
Total Medical Medicare Allowed Amount |
190894.36 |
Total Medical Medicare Payment Amount |
143277.48 |
Total Medical Medicare Standardized Payment Amount |
150257.53 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
543 |
Number Of Beneficiaries Age 65 to 74 |
1625 |
Number Of Beneficiaries Age 75 to 84 |
1444 |
Number Of Beneficiaries Age Greater 84 |
764 |
Number Of Female Beneficiaries |
2836 |
Number Of Male Beneficiaries |
1540 |
Number Of Non Hispanic White Beneficiaries |
4064 |
Number Of Black or African American Beneficiaries |
74 |
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
170 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3829 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
547 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3483 |