National Provider Identifier [NPI]: |
1982679577 |
Last Name Of The Provider |
HARMS |
First Name Of The Provider |
GORDON |
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 |
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 |
83 |
Number Of Services |
31119 |
Number Of Medicare Beneficiaries |
6138 |
Total Submitted Charge Amount |
322838.04 |
Total Medicare Allowed Amount |
210347.37 |
Total Medicare Payment Amount |
150455.86 |
Total Medicare Standardized Payment Amount |
176699.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
22528 |
Number Of Medicare Beneficiaries With Drug Services |
160 |
Total Drug Submitted ChargeAmount |
5013.86 |
Total Drug Medicare AllowedAmount |
3747.85 |
Total Drug Medicare PaymentAmount |
2470.04 |
Total Drug Medicare Standardized Payment Amount |
2470.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
8591 |
Number Of Medicare Beneficiaries With Medical Services |
6138 |
Total Medical Submitted Charge Amount |
317824.18 |
Total Medical Medicare Allowed Amount |
206599.52 |
Total Medical Medicare Payment Amount |
147985.82 |
Total Medical Medicare Standardized Payment Amount |
174229.76 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
942 |
Number Of Beneficiaries Age 65 to 74 |
2423 |
Number Of Beneficiaries Age 75 to 84 |
1951 |
Number Of Beneficiaries Age Greater 84 |
822 |
Number Of Female Beneficiaries |
2880 |
Number Of Male Beneficiaries |
3258 |
Number Of Non Hispanic White Beneficiaries |
5793 |
Number Of Black or African American Beneficiaries |
95 |
Number Of AsianPacific Islander Beneficiaries |
68 |
Number Of Hispanic Beneficiaries |
73 |
Number Of American Indian Alaska Native Beneficiaries |
26 |
Number Of Beneficiaries With Race Not Else where Classified |
83 |
Number Of Beneficiaries With Medicare Only Entitlement |
5351 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
787 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6771 |