National Provider Identifier [NPI]: |
1861481376 |
Last Name Of The Provider |
FILIGENZI |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
322 E ANTIETAM ST |
Street Address 2 Of The Provider |
SUITE 106 |
City Of The Provider |
HAGERSTOWN |
Zip Code Of The Provider |
217405794 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
179 |
Number Of Services |
23511 |
Number Of Medicare Beneficiaries |
3305 |
Total Submitted Charge Amount |
1579995.75 |
Total Medicare Allowed Amount |
513681.46 |
Total Medicare Payment Amount |
390795.7 |
Total Medicare Standardized Payment Amount |
389524.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
18419 |
Number Of Medicare Beneficiaries With Drug Services |
333 |
Total Drug Submitted ChargeAmount |
29629.75 |
Total Drug Medicare AllowedAmount |
8714.26 |
Total Drug Medicare PaymentAmount |
6711.68 |
Total Drug Medicare Standardized Payment Amount |
6711.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
177 |
Number Of Medical Services |
5092 |
Number Of Medicare Beneficiaries With Medical Services |
3305 |
Total Medical Submitted Charge Amount |
1550366 |
Total Medical Medicare Allowed Amount |
504967.2 |
Total Medical Medicare Payment Amount |
384084.02 |
Total Medical Medicare Standardized Payment Amount |
382812.99 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
683 |
Number Of Beneficiaries Age 65 to 74 |
1261 |
Number Of Beneficiaries Age 75 to 84 |
875 |
Number Of Beneficiaries Age Greater 84 |
486 |
Number Of Female Beneficiaries |
1992 |
Number Of Male Beneficiaries |
1313 |
Number Of Non Hispanic White Beneficiaries |
3083 |
Number Of Black or African American Beneficiaries |
135 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
31 |
Number Of Beneficiaries With Medicare Only Entitlement |
2522 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
783 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5891 |