National Provider Identifier [NPI]: |
1184642217 |
Last Name Of The Provider |
HAHN |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
36463 US HIGHWAY 19 N |
Street Address 2 Of The Provider |
|
City Of The Provider |
PALM HARBOR |
Zip Code Of The Provider |
346841329 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
179 |
Number Of Services |
26752 |
Number Of Medicare Beneficiaries |
2165 |
Total Submitted Charge Amount |
1608707.55 |
Total Medicare Allowed Amount |
485038.43 |
Total Medicare Payment Amount |
367908.14 |
Total Medicare Standardized Payment Amount |
381245.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
23293 |
Number Of Medicare Beneficiaries With Drug Services |
295 |
Total Drug Submitted ChargeAmount |
77534.8 |
Total Drug Medicare AllowedAmount |
12243.76 |
Total Drug Medicare PaymentAmount |
9529.16 |
Total Drug Medicare Standardized Payment Amount |
9529.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
173 |
Number Of Medical Services |
3459 |
Number Of Medicare Beneficiaries With Medical Services |
2161 |
Total Medical Submitted Charge Amount |
1531172.75 |
Total Medical Medicare Allowed Amount |
472794.67 |
Total Medical Medicare Payment Amount |
358378.98 |
Total Medical Medicare Standardized Payment Amount |
371716.79 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
401 |
Number Of Beneficiaries Age 65 to 74 |
949 |
Number Of Beneficiaries Age 75 to 84 |
552 |
Number Of Beneficiaries Age Greater 84 |
263 |
Number Of Female Beneficiaries |
1322 |
Number Of Male Beneficiaries |
843 |
Number Of Non Hispanic White Beneficiaries |
1915 |
Number Of Black or African American Beneficiaries |
101 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
93 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
1739 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
426 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.301 |