National Provider Identifier [NPI]: |
1205836228 |
Last Name Of The Provider |
TOM |
First Name Of The Provider |
BARRY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2500 BERNVILLE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
READING |
Zip Code Of The Provider |
196059453 |
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 |
181 |
Number Of Services |
5866 |
Number Of Medicare Beneficiaries |
3050 |
Total Submitted Charge Amount |
458398 |
Total Medicare Allowed Amount |
153303.23 |
Total Medicare Payment Amount |
115550.57 |
Total Medicare Standardized Payment Amount |
120494.69 |
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 |
181 |
Number Of Medical Services |
5866 |
Number Of Medicare Beneficiaries With Medical Services |
3050 |
Total Medical Submitted Charge Amount |
458398 |
Total Medical Medicare Allowed Amount |
153303.23 |
Total Medical Medicare Payment Amount |
115550.57 |
Total Medical Medicare Standardized Payment Amount |
120494.69 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
552 |
Number Of Beneficiaries Age 65 to 74 |
1113 |
Number Of Beneficiaries Age 75 to 84 |
890 |
Number Of Beneficiaries Age Greater 84 |
495 |
Number Of Female Beneficiaries |
1950 |
Number Of Male Beneficiaries |
1100 |
Number Of Non Hispanic White Beneficiaries |
2593 |
Number Of Black or African American Beneficiaries |
104 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
301 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
2333 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
717 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4314 |