National Provider Identifier [NPI]: |
1770588121 |
Last Name Of The Provider |
GREGOR |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
301 S 7TH AVE |
Street Address 2 Of The Provider |
STE 135 |
City Of The Provider |
WEST READING |
Zip Code Of The Provider |
196111442 |
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 |
164 |
Number Of Services |
3781 |
Number Of Medicare Beneficiaries |
2573 |
Total Submitted Charge Amount |
356823 |
Total Medicare Allowed Amount |
113183.58 |
Total Medicare Payment Amount |
87638.11 |
Total Medicare Standardized Payment Amount |
91342.78 |
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 |
164 |
Number Of Medical Services |
3781 |
Number Of Medicare Beneficiaries With Medical Services |
2573 |
Total Medical Submitted Charge Amount |
356823 |
Total Medical Medicare Allowed Amount |
113183.58 |
Total Medical Medicare Payment Amount |
87638.11 |
Total Medical Medicare Standardized Payment Amount |
91342.78 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
437 |
Number Of Beneficiaries Age 65 to 74 |
844 |
Number Of Beneficiaries Age 75 to 84 |
786 |
Number Of Beneficiaries Age Greater 84 |
506 |
Number Of Female Beneficiaries |
1599 |
Number Of Male Beneficiaries |
974 |
Number Of Non Hispanic White Beneficiaries |
2199 |
Number Of Black or African American Beneficiaries |
96 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
236 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
1982 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
591 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6935 |