National Provider Identifier [NPI]: |
1710953377 |
Last Name Of The Provider |
TSAY |
First Name Of The Provider |
JAWAD |
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 |
200 LOTHROP ST |
Street Address 2 Of The Provider |
3950 CHP MT |
City Of The Provider |
PITTSBURGH |
Zip Code Of The Provider |
152132546 |
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 |
86 |
Number Of Services |
4585 |
Number Of Medicare Beneficiaries |
2245 |
Total Submitted Charge Amount |
1488524.18 |
Total Medicare Allowed Amount |
204990.53 |
Total Medicare Payment Amount |
151581.33 |
Total Medicare Standardized Payment Amount |
157960.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1583 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
7376.18 |
Total Drug Medicare AllowedAmount |
559.85 |
Total Drug Medicare PaymentAmount |
438.93 |
Total Drug Medicare Standardized Payment Amount |
438.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
3002 |
Number Of Medicare Beneficiaries With Medical Services |
2245 |
Total Medical Submitted Charge Amount |
1481148 |
Total Medical Medicare Allowed Amount |
204430.68 |
Total Medical Medicare Payment Amount |
151142.4 |
Total Medical Medicare Standardized Payment Amount |
157521.13 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
483 |
Number Of Beneficiaries Age 65 to 74 |
817 |
Number Of Beneficiaries Age 75 to 84 |
653 |
Number Of Beneficiaries Age Greater 84 |
292 |
Number Of Female Beneficiaries |
1272 |
Number Of Male Beneficiaries |
973 |
Number Of Non Hispanic White Beneficiaries |
1740 |
Number Of Black or African American Beneficiaries |
372 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
57 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
48 |
Number Of Beneficiaries With Medicare Only Entitlement |
1652 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
593 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
1.8251 |