| National Provider Identifier [NPI]: | 1154589810 |
| Last Name Of The Provider | FISHER |
| First Name Of The Provider | JERRON |
| 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 | 500 UNIVERSITY DR |
| Street Address 2 Of The Provider | MC H066 |
| City Of The Provider | HERSHEY |
| Zip Code Of The Provider | 170332360 |
| State Code Of The Provider | PA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Interventional Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 216 |
| Number Of Services | 7709 |
| Number Of Medicare Beneficiaries | 3933 |
| Total Submitted Charge Amount | 646196 |
| Total Medicare Allowed Amount | 209763.19 |
| Total Medicare Payment Amount | 157609.62 |
| Total Medicare Standardized Payment Amount | 156397.65 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 216 |
| Number Of Medical Services | 7709 |
| Number Of Medicare Beneficiaries With Medical Services | 3933 |
| Total Medical Submitted Charge Amount | 646196 |
| Total Medical Medicare Allowed Amount | 209763.19 |
| Total Medical Medicare Payment Amount | 157609.62 |
| Total Medical Medicare Standardized Payment Amount | 156397.65 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 730 |
| Number Of Beneficiaries Age 65 to 74 | 1345 |
| Number Of Beneficiaries Age 75 to 84 | 1145 |
| Number Of Beneficiaries Age Greater 84 | 713 |
| Number Of Female Beneficiaries | 2205 |
| Number Of Male Beneficiaries | 1728 |
| Number Of Non Hispanic White Beneficiaries | 2384 |
| Number Of Black or African American Beneficiaries | 72 |
| Number Of AsianPacific Islander Beneficiaries | 106 |
| Number Of Hispanic Beneficiaries | 1298 |
| Number Of American Indian Alaska Native Beneficiaries | 34 |
| Number Of Beneficiaries With Race Not Else where Classified | 39 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2093 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1840 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 45 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 29 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 66 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 2.0103 |