National Provider Identifier [NPI]: |
1922090042 |
Last Name Of The Provider |
ROWLEY |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
315 S MANNING BLVD |
Street Address 2 Of The Provider |
MEDICAL IMAGING DEPARTMENT |
City Of The Provider |
ALBANY |
Zip Code Of The Provider |
122081707 |
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 |
142 |
Number Of Services |
7145 |
Number Of Medicare Beneficiaries |
2314 |
Total Submitted Charge Amount |
470604 |
Total Medicare Allowed Amount |
151741.13 |
Total Medicare Payment Amount |
116660.6 |
Total Medicare Standardized Payment Amount |
124789.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3982 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
6058 |
Total Drug Medicare AllowedAmount |
2007.93 |
Total Drug Medicare PaymentAmount |
1574.1 |
Total Drug Medicare Standardized Payment Amount |
1574.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
140 |
Number Of Medical Services |
3163 |
Number Of Medicare Beneficiaries With Medical Services |
2314 |
Total Medical Submitted Charge Amount |
464546 |
Total Medical Medicare Allowed Amount |
149733.2 |
Total Medical Medicare Payment Amount |
115086.5 |
Total Medical Medicare Standardized Payment Amount |
123215.48 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
429 |
Number Of Beneficiaries Age 65 to 74 |
778 |
Number Of Beneficiaries Age 75 to 84 |
668 |
Number Of Beneficiaries Age Greater 84 |
439 |
Number Of Female Beneficiaries |
1383 |
Number Of Male Beneficiaries |
931 |
Number Of Non Hispanic White Beneficiaries |
2053 |
Number Of Black or African American Beneficiaries |
164 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
44 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
1696 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
618 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7542 |