National Provider Identifier [NPI]: |
1194752899 |
Last Name Of The Provider |
ARNOW |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
157 UNION ST |
Street Address 2 Of The Provider |
RADIOLOGY DEPARTMENT |
City Of The Provider |
MARLBOROUGH |
Zip Code Of The Provider |
017521228 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
151 |
Number Of Services |
4478 |
Number Of Medicare Beneficiaries |
2359 |
Total Submitted Charge Amount |
357225 |
Total Medicare Allowed Amount |
120303.89 |
Total Medicare Payment Amount |
93648.24 |
Total Medicare Standardized Payment Amount |
91683.11 |
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 |
151 |
Number Of Medical Services |
4478 |
Number Of Medicare Beneficiaries With Medical Services |
2359 |
Total Medical Submitted Charge Amount |
357225 |
Total Medical Medicare Allowed Amount |
120303.89 |
Total Medical Medicare Payment Amount |
93648.24 |
Total Medical Medicare Standardized Payment Amount |
91683.11 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
421 |
Number Of Beneficiaries Age 65 to 74 |
881 |
Number Of Beneficiaries Age 75 to 84 |
654 |
Number Of Beneficiaries Age Greater 84 |
403 |
Number Of Female Beneficiaries |
1637 |
Number Of Male Beneficiaries |
722 |
Number Of Non Hispanic White Beneficiaries |
2179 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
91 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
41 |
Number Of Beneficiaries With Medicare Only Entitlement |
1719 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
640 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3374 |