National Provider Identifier [NPI]: |
1720078439 |
Last Name Of The Provider |
KRONTHAL |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1145 19TH ST NW |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200363701 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
181 |
Number Of Services |
8922 |
Number Of Medicare Beneficiaries |
3275 |
Total Submitted Charge Amount |
923117 |
Total Medicare Allowed Amount |
282879.19 |
Total Medicare Payment Amount |
216132 |
Total Medicare Standardized Payment Amount |
194898.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
3649 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
4510 |
Total Drug Medicare AllowedAmount |
1147.05 |
Total Drug Medicare PaymentAmount |
899.26 |
Total Drug Medicare Standardized Payment Amount |
899.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
177 |
Number Of Medical Services |
5273 |
Number Of Medicare Beneficiaries With Medical Services |
3275 |
Total Medical Submitted Charge Amount |
918607 |
Total Medical Medicare Allowed Amount |
281732.14 |
Total Medical Medicare Payment Amount |
215232.74 |
Total Medical Medicare Standardized Payment Amount |
193999.54 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
142 |
Number Of Beneficiaries Age 65 to 74 |
1226 |
Number Of Beneficiaries Age 75 to 84 |
1105 |
Number Of Beneficiaries Age Greater 84 |
802 |
Number Of Female Beneficiaries |
2086 |
Number Of Male Beneficiaries |
1189 |
Number Of Non Hispanic White Beneficiaries |
2420 |
Number Of Black or African American Beneficiaries |
583 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
115 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
80 |
Number Of Beneficiaries With Medicare Only Entitlement |
2954 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
321 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2585 |