National Provider Identifier [NPI]: |
1326191842 |
Last Name Of The Provider |
NORMAN |
First Name Of The Provider |
EMILY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 S PARK ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MADISON |
Zip Code Of The Provider |
537151830 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
181 |
Number Of Services |
14912 |
Number Of Medicare Beneficiaries |
3300 |
Total Submitted Charge Amount |
1748201 |
Total Medicare Allowed Amount |
202749.87 |
Total Medicare Payment Amount |
157159.95 |
Total Medicare Standardized Payment Amount |
165692.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
9948 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
10472 |
Total Drug Medicare AllowedAmount |
2188.22 |
Total Drug Medicare PaymentAmount |
1650.91 |
Total Drug Medicare Standardized Payment Amount |
1650.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
175 |
Number Of Medical Services |
4964 |
Number Of Medicare Beneficiaries With Medical Services |
3300 |
Total Medical Submitted Charge Amount |
1737729 |
Total Medical Medicare Allowed Amount |
200561.65 |
Total Medical Medicare Payment Amount |
155509.04 |
Total Medical Medicare Standardized Payment Amount |
164041.88 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
543 |
Number Of Beneficiaries Age 65 to 74 |
1209 |
Number Of Beneficiaries Age 75 to 84 |
998 |
Number Of Beneficiaries Age Greater 84 |
550 |
Number Of Female Beneficiaries |
2155 |
Number Of Male Beneficiaries |
1145 |
Number Of Non Hispanic White Beneficiaries |
3126 |
Number Of Black or African American Beneficiaries |
70 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
33 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
40 |
Number Of Beneficiaries With Medicare Only Entitlement |
2555 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
745 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2434 |