National Provider Identifier [NPI]: |
1801875786 |
Last Name Of The Provider |
LARAR |
First Name Of The Provider |
GERALD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
435 SCRANTON-CARBONDALE HIGHWAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
SCRANTON |
Zip Code Of The Provider |
18508 |
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 |
140 |
Number Of Services |
22398 |
Number Of Medicare Beneficiaries |
1884 |
Total Submitted Charge Amount |
1550821.5 |
Total Medicare Allowed Amount |
494728.83 |
Total Medicare Payment Amount |
379752.31 |
Total Medicare Standardized Payment Amount |
407109.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
19648 |
Number Of Medicare Beneficiaries With Drug Services |
269 |
Total Drug Submitted ChargeAmount |
26304.5 |
Total Drug Medicare AllowedAmount |
4236.01 |
Total Drug Medicare PaymentAmount |
3217.3 |
Total Drug Medicare Standardized Payment Amount |
3217.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
137 |
Number Of Medical Services |
2750 |
Number Of Medicare Beneficiaries With Medical Services |
1884 |
Total Medical Submitted Charge Amount |
1524517 |
Total Medical Medicare Allowed Amount |
490492.82 |
Total Medical Medicare Payment Amount |
376535.01 |
Total Medical Medicare Standardized Payment Amount |
403892.03 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
288 |
Number Of Beneficiaries Age 65 to 74 |
888 |
Number Of Beneficiaries Age 75 to 84 |
554 |
Number Of Beneficiaries Age Greater 84 |
154 |
Number Of Female Beneficiaries |
1295 |
Number Of Male Beneficiaries |
589 |
Number Of Non Hispanic White Beneficiaries |
1841 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1622 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
262 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.104 |