National Provider Identifier [NPI]: |
1598900359 |
Last Name Of The Provider |
TOROK |
First Name Of The Provider |
JUSTIN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 DUTCH RIDGE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BEAVER |
Zip Code Of The Provider |
150099727 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
178 |
Number Of Services |
3059 |
Number Of Medicare Beneficiaries |
1884 |
Total Submitted Charge Amount |
234509 |
Total Medicare Allowed Amount |
84398.2 |
Total Medicare Payment Amount |
64477.11 |
Total Medicare Standardized Payment Amount |
66738.7 |
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 |
178 |
Number Of Medical Services |
3059 |
Number Of Medicare Beneficiaries With Medical Services |
1884 |
Total Medical Submitted Charge Amount |
234509 |
Total Medical Medicare Allowed Amount |
84398.2 |
Total Medical Medicare Payment Amount |
64477.11 |
Total Medical Medicare Standardized Payment Amount |
66738.7 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
391 |
Number Of Beneficiaries Age 65 to 74 |
642 |
Number Of Beneficiaries Age 75 to 84 |
455 |
Number Of Beneficiaries Age Greater 84 |
396 |
Number Of Female Beneficiaries |
1180 |
Number Of Male Beneficiaries |
704 |
Number Of Non Hispanic White Beneficiaries |
1744 |
Number Of Black or African American Beneficiaries |
107 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1439 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
445 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6394 |