National Provider Identifier [NPI]: |
1598729568 |
Last Name Of The Provider |
KRICUN |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 S CEDAR CREST BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALLENTOWN |
Zip Code Of The Provider |
181036202 |
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 |
220 |
Number Of Services |
12268 |
Number Of Medicare Beneficiaries |
7307 |
Total Submitted Charge Amount |
869293 |
Total Medicare Allowed Amount |
259794.6 |
Total Medicare Payment Amount |
213907.85 |
Total Medicare Standardized Payment Amount |
222170.33 |
Drug Suppress Indicator |
* |
Number Of HCPCS Associated With Drug Services |
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Number Of Drug Services |
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Number Of Medicare Beneficiaries With Drug Services |
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Total Drug Submitted ChargeAmount |
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Total Drug Medicare AllowedAmount |
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Total Drug Medicare PaymentAmount |
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Total Drug Medicare Standardized Payment Amount |
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Medical SuppressIndicator |
# |
Number Of HCPCS Associated With MedicalServices |
|
Number Of Medical Services |
|
Number Of Medicare Beneficiaries With Medical Services |
|
Total Medical Submitted Charge Amount |
|
Total Medical Medicare Allowed Amount |
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Total Medical Medicare Payment Amount |
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Total Medical Medicare Standardized Payment Amount |
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Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
1181 |
Number Of Beneficiaries Age 65 to 74 |
2650 |
Number Of Beneficiaries Age 75 to 84 |
2178 |
Number Of Beneficiaries Age Greater 84 |
1298 |
Number Of Female Beneficiaries |
4802 |
Number Of Male Beneficiaries |
2505 |
Number Of Non Hispanic White Beneficiaries |
6593 |
Number Of Black or African American Beneficiaries |
124 |
Number Of AsianPacific Islander Beneficiaries |
46 |
Number Of Hispanic Beneficiaries |
468 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
76 |
Number Of Beneficiaries With Medicare Only Entitlement |
5691 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1616 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6035 |