National Provider Identifier [NPI]: |
1770545949 |
Last Name Of The Provider |
THORNTON |
First Name Of The Provider |
FRANCIS |
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 |
600 HIGHLAND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MADISON |
Zip Code Of The Provider |
53792 |
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 |
160 |
Number Of Services |
8395 |
Number Of Medicare Beneficiaries |
1973 |
Total Submitted Charge Amount |
1056230.5 |
Total Medicare Allowed Amount |
125200.08 |
Total Medicare Payment Amount |
92717.59 |
Total Medicare Standardized Payment Amount |
98329.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
5732 |
Number Of Medicare Beneficiaries With Drug Services |
69 |
Total Drug Submitted ChargeAmount |
6993.5 |
Total Drug Medicare AllowedAmount |
1754.79 |
Total Drug Medicare PaymentAmount |
1375.65 |
Total Drug Medicare Standardized Payment Amount |
1375.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
157 |
Number Of Medical Services |
2663 |
Number Of Medicare Beneficiaries With Medical Services |
1972 |
Total Medical Submitted Charge Amount |
1049237 |
Total Medical Medicare Allowed Amount |
123445.29 |
Total Medical Medicare Payment Amount |
91341.94 |
Total Medical Medicare Standardized Payment Amount |
96953.75 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
370 |
Number Of Beneficiaries Age 65 to 74 |
735 |
Number Of Beneficiaries Age 75 to 84 |
549 |
Number Of Beneficiaries Age Greater 84 |
319 |
Number Of Female Beneficiaries |
1140 |
Number Of Male Beneficiaries |
833 |
Number Of Non Hispanic White Beneficiaries |
1847 |
Number Of Black or African American Beneficiaries |
57 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1502 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
471 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3803 |