National Provider Identifier [NPI]: |
1538105077 |
Last Name Of The Provider |
LANGLOTZ |
First Name Of The Provider |
CURTIS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3400 SPRUCE ST |
Street Address 2 Of The Provider |
GROUND FLOOR DULLES |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
19104 |
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 |
44 |
Number Of Services |
1591 |
Number Of Medicare Beneficiaries |
1145 |
Total Submitted Charge Amount |
63822 |
Total Medicare Allowed Amount |
17170.95 |
Total Medicare Payment Amount |
12468.38 |
Total Medicare Standardized Payment Amount |
11576.94 |
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 |
44 |
Number Of Medical Services |
1591 |
Number Of Medicare Beneficiaries With Medical Services |
1145 |
Total Medical Submitted Charge Amount |
63822 |
Total Medical Medicare Allowed Amount |
17170.95 |
Total Medical Medicare Payment Amount |
12468.38 |
Total Medical Medicare Standardized Payment Amount |
11576.94 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
257 |
Number Of Beneficiaries Age 65 to 74 |
407 |
Number Of Beneficiaries Age 75 to 84 |
306 |
Number Of Beneficiaries Age Greater 84 |
175 |
Number Of Female Beneficiaries |
574 |
Number Of Male Beneficiaries |
571 |
Number Of Non Hispanic White Beneficiaries |
695 |
Number Of Black or African American Beneficiaries |
294 |
Number Of AsianPacific Islander Beneficiaries |
75 |
Number Of Hispanic Beneficiaries |
60 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
808 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
337 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.086 |