| National Provider Identifier [NPI]: | 1811987910 |
| Last Name Of The Provider | FEAR |
| First Name Of The Provider | PHILIP |
| 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 | 427 GUY PARK AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | AMSTERDAM |
| Zip Code Of The Provider | 120101054 |
| State Code Of The Provider | NY |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 233 |
| Number Of Services | 8106 |
| Number Of Medicare Beneficiaries | 4893 |
| Total Submitted Charge Amount | 761666.55 |
| Total Medicare Allowed Amount | 228191.5 |
| Total Medicare Payment Amount | 181426.23 |
| Total Medicare Standardized Payment Amount | 188335.52 |
| 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 | 233 |
| Number Of Medical Services | 8106 |
| Number Of Medicare Beneficiaries With Medical Services | 4893 |
| Total Medical Submitted Charge Amount | 761666.55 |
| Total Medical Medicare Allowed Amount | 228191.5 |
| Total Medical Medicare Payment Amount | 181426.23 |
| Total Medical Medicare Standardized Payment Amount | 188335.52 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1169 |
| Number Of Beneficiaries Age 65 to 74 | 1613 |
| Number Of Beneficiaries Age 75 to 84 | 1235 |
| Number Of Beneficiaries Age Greater 84 | 876 |
| Number Of Female Beneficiaries | 3060 |
| Number Of Male Beneficiaries | 1833 |
| Number Of Non Hispanic White Beneficiaries | 4533 |
| Number Of Black or African American Beneficiaries | 119 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 141 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 65 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3120 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1773 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 31 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 28 |
| Percent Of With Depression | 30 |
| Percent Of With Diabetes | 35 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 8 |
| Average HCC Risk Score Of Beneficiaries | 1.6189 |