National Provider Identifier [NPI]: |
1073778320 |
Last Name Of The Provider |
BECK |
First Name Of The Provider |
AVI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
629-D LOWTHER ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEWISBERRY |
Zip Code Of The Provider |
173399527 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
240 |
Number Of Services |
2617 |
Number Of Medicare Beneficiaries |
1488 |
Total Submitted Charge Amount |
832789 |
Total Medicare Allowed Amount |
172796.44 |
Total Medicare Payment Amount |
132992.83 |
Total Medicare Standardized Payment Amount |
136634.22 |
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 |
240 |
Number Of Medical Services |
2617 |
Number Of Medicare Beneficiaries With Medical Services |
1488 |
Total Medical Submitted Charge Amount |
832789 |
Total Medical Medicare Allowed Amount |
172796.44 |
Total Medical Medicare Payment Amount |
132992.83 |
Total Medical Medicare Standardized Payment Amount |
136634.22 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
253 |
Number Of Beneficiaries Age 65 to 74 |
461 |
Number Of Beneficiaries Age 75 to 84 |
472 |
Number Of Beneficiaries Age Greater 84 |
302 |
Number Of Female Beneficiaries |
795 |
Number Of Male Beneficiaries |
693 |
Number Of Non Hispanic White Beneficiaries |
1304 |
Number Of Black or African American Beneficiaries |
137 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1178 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
310 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.301 |