National Provider Identifier [NPI]: |
1083694731 |
Last Name Of The Provider |
HORNER |
First Name Of The Provider |
NEIL |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 DIAMOND HILL RD |
Street Address 2 Of The Provider |
SUMMIT MEDICAL GROUP |
City Of The Provider |
BERKELEY HEIGHTS |
Zip Code Of The Provider |
079222104 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
181 |
Number Of Services |
10224 |
Number Of Medicare Beneficiaries |
4233 |
Total Submitted Charge Amount |
1967122 |
Total Medicare Allowed Amount |
431644.76 |
Total Medicare Payment Amount |
327591.84 |
Total Medicare Standardized Payment Amount |
295942.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3688 |
Number Of Medicare Beneficiaries With Drug Services |
205 |
Total Drug Submitted ChargeAmount |
11196 |
Total Drug Medicare AllowedAmount |
2794.18 |
Total Drug Medicare PaymentAmount |
2162.2 |
Total Drug Medicare Standardized Payment Amount |
2162.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
179 |
Number Of Medical Services |
6536 |
Number Of Medicare Beneficiaries With Medical Services |
4232 |
Total Medical Submitted Charge Amount |
1955926 |
Total Medical Medicare Allowed Amount |
428850.58 |
Total Medical Medicare Payment Amount |
325429.64 |
Total Medical Medicare Standardized Payment Amount |
293780.17 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
406 |
Number Of Beneficiaries Age 65 to 74 |
1456 |
Number Of Beneficiaries Age 75 to 84 |
1347 |
Number Of Beneficiaries Age Greater 84 |
1024 |
Number Of Female Beneficiaries |
2529 |
Number Of Male Beneficiaries |
1704 |
Number Of Non Hispanic White Beneficiaries |
3419 |
Number Of Black or African American Beneficiaries |
413 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
251 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
77 |
Number Of Beneficiaries With Medicare Only Entitlement |
3737 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
496 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.5695 |