| National Provider Identifier [NPI]: | 1902870207 |
| Last Name Of The Provider | SCHAFFER |
| First Name Of The Provider | SONJA |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1515 BRIDGE ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | NEW CUMBERLAND |
| Zip Code Of The Provider | 170701120 |
| 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 | 106 |
| Number Of Services | 7713 |
| Number Of Medicare Beneficiaries | 3150 |
| Total Submitted Charge Amount | 312869.88 |
| Total Medicare Allowed Amount | 154418.69 |
| Total Medicare Payment Amount | 118686.01 |
| Total Medicare Standardized Payment Amount | 125618.78 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 3250 |
| Number Of Medicare Beneficiaries With Drug Services | 30 |
| Total Drug Submitted ChargeAmount | 4225 |
| Total Drug Medicare AllowedAmount | 590.11 |
| Total Drug Medicare PaymentAmount | 452.43 |
| Total Drug Medicare Standardized Payment Amount | 452.43 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 105 |
| Number Of Medical Services | 4463 |
| Number Of Medicare Beneficiaries With Medical Services | 3150 |
| Total Medical Submitted Charge Amount | 308644.88 |
| Total Medical Medicare Allowed Amount | 153828.58 |
| Total Medical Medicare Payment Amount | 118233.58 |
| Total Medical Medicare Standardized Payment Amount | 125166.35 |
| Average Age Of Beneficiaries | 80 |
| Number Of Beneficiaries Age Less65 | 269 |
| Number Of Beneficiaries Age 65 to 74 | 696 |
| Number Of Beneficiaries Age 75 to 84 | 897 |
| Number Of Beneficiaries Age Greater 84 | 1288 |
| Number Of Female Beneficiaries | 2038 |
| Number Of Male Beneficiaries | 1112 |
| Number Of Non Hispanic White Beneficiaries | 2902 |
| Number Of Black or African American Beneficiaries | 177 |
| Number Of AsianPacific Islander Beneficiaries | 19 |
| Number Of Hispanic Beneficiaries | 32 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 20 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1975 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1175 |
| Percent Of With Atrial Fibrillation | 27 |
| Percent Of With Alzheimers Disease or Dementia | 47 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 46 |
| Percent Of With Chronic Kidney Disease | 44 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 45 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 18 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 54 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 16 |
| Percent Of With Stroke | 18 |
| Average HCC Risk Score Of Beneficiaries | 2.1205 |