National Provider Identifier [NPI]: |
1710064126 |
Last Name Of The Provider |
ARTMAN |
First Name Of The Provider |
CHRISTIAN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2800 CLARENDON BLVD |
Street Address 2 Of The Provider |
APT 415 |
City Of The Provider |
ARLINGTON |
Zip Code Of The Provider |
222017012 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
121 |
Number Of Services |
3926 |
Number Of Medicare Beneficiaries |
2252 |
Total Submitted Charge Amount |
552629.04 |
Total Medicare Allowed Amount |
135717.78 |
Total Medicare Payment Amount |
105910.13 |
Total Medicare Standardized Payment Amount |
99957.06 |
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 |
121 |
Number Of Medical Services |
3926 |
Number Of Medicare Beneficiaries With Medical Services |
2252 |
Total Medical Submitted Charge Amount |
552629.04 |
Total Medical Medicare Allowed Amount |
135717.78 |
Total Medical Medicare Payment Amount |
105910.13 |
Total Medical Medicare Standardized Payment Amount |
99957.06 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
325 |
Number Of Beneficiaries Age 65 to 74 |
639 |
Number Of Beneficiaries Age 75 to 84 |
728 |
Number Of Beneficiaries Age Greater 84 |
560 |
Number Of Female Beneficiaries |
1232 |
Number Of Male Beneficiaries |
1020 |
Number Of Non Hispanic White Beneficiaries |
1174 |
Number Of Black or African American Beneficiaries |
179 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
856 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
1162 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1090 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
72 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.2404 |