National Provider Identifier [NPI]: |
1992992010 |
Last Name Of The Provider |
HARKER |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
U OF U HEALTH SCIENCES CENTER DEPARTMENT OF RADIOLOGY |
Street Address 2 Of The Provider |
30 NORTH 1900 EAST #1A071 |
City Of The Provider |
SALT LAKE CITY |
Zip Code Of The Provider |
841322140 |
State Code Of The Provider |
UT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
280 |
Number Of Services |
11049 |
Number Of Medicare Beneficiaries |
2388 |
Total Submitted Charge Amount |
1238674.6 |
Total Medicare Allowed Amount |
244301.28 |
Total Medicare Payment Amount |
187674.87 |
Total Medicare Standardized Payment Amount |
201363.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
6885 |
Number Of Medicare Beneficiaries With Drug Services |
75 |
Total Drug Submitted ChargeAmount |
4868.35 |
Total Drug Medicare AllowedAmount |
2628.3 |
Total Drug Medicare PaymentAmount |
2016.5 |
Total Drug Medicare Standardized Payment Amount |
2016.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
269 |
Number Of Medical Services |
4164 |
Number Of Medicare Beneficiaries With Medical Services |
2388 |
Total Medical Submitted Charge Amount |
1233806.25 |
Total Medical Medicare Allowed Amount |
241672.98 |
Total Medical Medicare Payment Amount |
185658.37 |
Total Medical Medicare Standardized Payment Amount |
199346.91 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
486 |
Number Of Beneficiaries Age 65 to 74 |
830 |
Number Of Beneficiaries Age 75 to 84 |
707 |
Number Of Beneficiaries Age Greater 84 |
365 |
Number Of Female Beneficiaries |
1297 |
Number Of Male Beneficiaries |
1091 |
Number Of Non Hispanic White Beneficiaries |
2241 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
83 |
Number Of American Indian Alaska Native Beneficiaries |
20 |
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1741 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
647 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.4348 |