National Provider Identifier [NPI]: |
1093709503 |
Last Name Of The Provider |
ADELIZZI |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
595 W STATE ST |
Street Address 2 Of The Provider |
RADIOLOGY DEPT |
City Of The Provider |
DOYLESTOWN |
Zip Code Of The Provider |
189012554 |
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 |
146 |
Number Of Services |
4591 |
Number Of Medicare Beneficiaries |
2873 |
Total Submitted Charge Amount |
460446.26 |
Total Medicare Allowed Amount |
127768.45 |
Total Medicare Payment Amount |
100854.51 |
Total Medicare Standardized Payment Amount |
97300.64 |
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 |
146 |
Number Of Medical Services |
4591 |
Number Of Medicare Beneficiaries With Medical Services |
2873 |
Total Medical Submitted Charge Amount |
460446.26 |
Total Medical Medicare Allowed Amount |
127768.45 |
Total Medical Medicare Payment Amount |
100854.51 |
Total Medical Medicare Standardized Payment Amount |
97300.64 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
213 |
Number Of Beneficiaries Age 65 to 74 |
1264 |
Number Of Beneficiaries Age 75 to 84 |
847 |
Number Of Beneficiaries Age Greater 84 |
549 |
Number Of Female Beneficiaries |
1828 |
Number Of Male Beneficiaries |
1045 |
Number Of Non Hispanic White Beneficiaries |
2738 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
41 |
Number Of Beneficiaries With Medicare Only Entitlement |
2576 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
297 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.506 |