National Provider Identifier [NPI]: |
1376522409 |
Last Name Of The Provider |
BECK |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3998 RED LION RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191141436 |
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 |
147 |
Number Of Services |
2434 |
Number Of Medicare Beneficiaries |
1803 |
Total Submitted Charge Amount |
455900 |
Total Medicare Allowed Amount |
125164.71 |
Total Medicare Payment Amount |
96205.98 |
Total Medicare Standardized Payment Amount |
93067.37 |
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 |
147 |
Number Of Medical Services |
2434 |
Number Of Medicare Beneficiaries With Medical Services |
1803 |
Total Medical Submitted Charge Amount |
455900 |
Total Medical Medicare Allowed Amount |
125164.71 |
Total Medical Medicare Payment Amount |
96205.98 |
Total Medical Medicare Standardized Payment Amount |
93067.37 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
445 |
Number Of Beneficiaries Age 65 to 74 |
584 |
Number Of Beneficiaries Age 75 to 84 |
450 |
Number Of Beneficiaries Age Greater 84 |
324 |
Number Of Female Beneficiaries |
989 |
Number Of Male Beneficiaries |
814 |
Number Of Non Hispanic White Beneficiaries |
1392 |
Number Of Black or African American Beneficiaries |
286 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
72 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1164 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
639 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.0858 |