National Provider Identifier [NPI]: |
1972764215 |
Last Name Of The Provider |
SOBOLEWSKI |
First Name Of The Provider |
ROBIN |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 HALKET ST |
Street Address 2 Of The Provider |
SUITE 3130 |
City Of The Provider |
PITTSBURGH |
Zip Code Of The Provider |
152133108 |
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 |
92 |
Number Of Services |
3204 |
Number Of Medicare Beneficiaries |
1125 |
Total Submitted Charge Amount |
494984 |
Total Medicare Allowed Amount |
138071.85 |
Total Medicare Payment Amount |
118484.42 |
Total Medicare Standardized Payment Amount |
109163.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1280 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
4400 |
Total Drug Medicare AllowedAmount |
340.75 |
Total Drug Medicare PaymentAmount |
267.15 |
Total Drug Medicare Standardized Payment Amount |
267.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
1924 |
Number Of Medicare Beneficiaries With Medical Services |
1125 |
Total Medical Submitted Charge Amount |
490584 |
Total Medical Medicare Allowed Amount |
137731.1 |
Total Medical Medicare Payment Amount |
118217.27 |
Total Medical Medicare Standardized Payment Amount |
108896.26 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
167 |
Number Of Beneficiaries Age 65 to 74 |
489 |
Number Of Beneficiaries Age 75 to 84 |
332 |
Number Of Beneficiaries Age Greater 84 |
137 |
Number Of Female Beneficiaries |
937 |
Number Of Male Beneficiaries |
188 |
Number Of Non Hispanic White Beneficiaries |
905 |
Number Of Black or African American Beneficiaries |
112 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
75 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
808 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
317 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4572 |