| National Provider Identifier [NPI]: | 1639360928 |
| Last Name Of The Provider | GORMAN |
| First Name Of The Provider | DANIEL |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 17TH & CHEW STREETS |
| Street Address 2 Of The Provider | STE 101 |
| City Of The Provider | ALLENTOWN |
| Zip Code Of The Provider | 18105 |
| 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 | 160 |
| Number Of Services | 5123 |
| Number Of Medicare Beneficiaries | 2991 |
| Total Submitted Charge Amount | 553464.2 |
| Total Medicare Allowed Amount | 180156.39 |
| Total Medicare Payment Amount | 135436.79 |
| Total Medicare Standardized Payment Amount | 139269.77 |
| 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 | 160 |
| Number Of Medical Services | 5123 |
| Number Of Medicare Beneficiaries With Medical Services | 2991 |
| Total Medical Submitted Charge Amount | 553464.2 |
| Total Medical Medicare Allowed Amount | 180156.39 |
| Total Medical Medicare Payment Amount | 135436.79 |
| Total Medical Medicare Standardized Payment Amount | 139269.77 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 658 |
| Number Of Beneficiaries Age 65 to 74 | 1032 |
| Number Of Beneficiaries Age 75 to 84 | 774 |
| Number Of Beneficiaries Age Greater 84 | 527 |
| Number Of Female Beneficiaries | 1809 |
| Number Of Male Beneficiaries | 1182 |
| Number Of Non Hispanic White Beneficiaries | 2371 |
| Number Of Black or African American Beneficiaries | 540 |
| Number Of AsianPacific Islander Beneficiaries | 22 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 40 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2161 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 830 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 20 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 37 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 15 |
| Average HCC Risk Score Of Beneficiaries | 1.7611 |