| National Provider Identifier [NPI]: | 1306847165 |
| Last Name Of The Provider | DAVID |
| First Name Of The Provider | RICHARD |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 711 LAWN AVE |
| Street Address 2 Of The Provider | BLDG 1 |
| City Of The Provider | SELLERSVILLE |
| Zip Code Of The Provider | 189601575 |
| 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 | 157 |
| Number Of Services | 4652.5 |
| Number Of Medicare Beneficiaries | 2713 |
| Total Submitted Charge Amount | 613315 |
| Total Medicare Allowed Amount | 180173.98 |
| Total Medicare Payment Amount | 143269.51 |
| Total Medicare Standardized Payment Amount | 137619.28 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 162.5 |
| Number Of Medicare Beneficiaries With Drug Services | 19 |
| Total Drug Submitted ChargeAmount | 1625 |
| Total Drug Medicare AllowedAmount | 321.38 |
| Total Drug Medicare PaymentAmount | 251.91 |
| Total Drug Medicare Standardized Payment Amount | 251.91 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 156 |
| Number Of Medical Services | 4490 |
| Number Of Medicare Beneficiaries With Medical Services | 2713 |
| Total Medical Submitted Charge Amount | 611690 |
| Total Medical Medicare Allowed Amount | 179852.6 |
| Total Medical Medicare Payment Amount | 143017.6 |
| Total Medical Medicare Standardized Payment Amount | 137367.37 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 315 |
| Number Of Beneficiaries Age 65 to 74 | 1110 |
| Number Of Beneficiaries Age 75 to 84 | 778 |
| Number Of Beneficiaries Age Greater 84 | 510 |
| Number Of Female Beneficiaries | 1768 |
| Number Of Male Beneficiaries | 945 |
| Number Of Non Hispanic White Beneficiaries | 2598 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 26 |
| Number Of Hispanic Beneficiaries | 34 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 32 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2362 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 351 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.3272 |