National Provider Identifier [NPI]: |
1679559264 |
Last Name Of The Provider |
ADAMCZYK |
First Name Of The Provider |
DARCY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 1ST ST SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCHESTER |
Zip Code Of The Provider |
559050001 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
22674 |
Number Of Medicare Beneficiaries |
2772 |
Total Submitted Charge Amount |
251186.43 |
Total Medicare Allowed Amount |
170189.74 |
Total Medicare Payment Amount |
128537.76 |
Total Medicare Standardized Payment Amount |
142879.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
18497 |
Number Of Medicare Beneficiaries With Drug Services |
142 |
Total Drug Submitted ChargeAmount |
4405.13 |
Total Drug Medicare AllowedAmount |
3408.87 |
Total Drug Medicare PaymentAmount |
2245.27 |
Total Drug Medicare Standardized Payment Amount |
2245.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
4177 |
Number Of Medicare Beneficiaries With Medical Services |
2772 |
Total Medical Submitted Charge Amount |
246781.3 |
Total Medical Medicare Allowed Amount |
166780.87 |
Total Medical Medicare Payment Amount |
126292.49 |
Total Medical Medicare Standardized Payment Amount |
140634.63 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
488 |
Number Of Beneficiaries Age 65 to 74 |
1050 |
Number Of Beneficiaries Age 75 to 84 |
821 |
Number Of Beneficiaries Age Greater 84 |
413 |
Number Of Female Beneficiaries |
1487 |
Number Of Male Beneficiaries |
1285 |
Number Of Non Hispanic White Beneficiaries |
2606 |
Number Of Black or African American Beneficiaries |
49 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
44 |
Number Of Beneficiaries With Medicare Only Entitlement |
2296 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
476 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7366 |