National Provider Identifier [NPI]: |
1366406241 |
Last Name Of The Provider |
SHOEMAKER |
First Name Of The Provider |
ELLIOT |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 S CEDAR CREST BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALLENTOWN |
Zip Code Of The Provider |
181036202 |
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 |
264 |
Number Of Services |
17515 |
Number Of Medicare Beneficiaries |
8805 |
Total Submitted Charge Amount |
1813339.19 |
Total Medicare Allowed Amount |
496608.88 |
Total Medicare Payment Amount |
387391.9 |
Total Medicare Standardized Payment Amount |
403922.52 |
Drug Suppress Indicator |
* |
Number Of HCPCS Associated With Drug Services |
|
Number Of Drug Services |
|
Number Of Medicare Beneficiaries With Drug Services |
|
Total Drug Submitted ChargeAmount |
|
Total Drug Medicare AllowedAmount |
|
Total Drug Medicare PaymentAmount |
|
Total Drug Medicare Standardized Payment Amount |
|
Medical SuppressIndicator |
# |
Number Of HCPCS Associated With MedicalServices |
|
Number Of Medical Services |
|
Number Of Medicare Beneficiaries With Medical Services |
|
Total Medical Submitted Charge Amount |
|
Total Medical Medicare Allowed Amount |
|
Total Medical Medicare Payment Amount |
|
Total Medical Medicare Standardized Payment Amount |
|
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
1511 |
Number Of Beneficiaries Age 65 to 74 |
2999 |
Number Of Beneficiaries Age 75 to 84 |
2569 |
Number Of Beneficiaries Age Greater 84 |
1726 |
Number Of Female Beneficiaries |
5423 |
Number Of Male Beneficiaries |
3382 |
Number Of Non Hispanic White Beneficiaries |
8029 |
Number Of Black or African American Beneficiaries |
143 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
499 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
76 |
Number Of Beneficiaries With Medicare Only Entitlement |
6645 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2160 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6689 |