National Provider Identifier [NPI]: |
1104885573 |
Last Name Of The Provider |
BARAN |
First Name Of The Provider |
GREGG |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2700 UNIVERSITY SQUARE DRIVE |
Street Address 2 Of The Provider |
RADIOLOGY ASSOCIATES OF TAMPA |
City Of The Provider |
TAMPA |
Zip Code Of The Provider |
336125513 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
225 |
Number Of Services |
24815 |
Number Of Medicare Beneficiaries |
7750 |
Total Submitted Charge Amount |
1642902 |
Total Medicare Allowed Amount |
560975.35 |
Total Medicare Payment Amount |
425177.19 |
Total Medicare Standardized Payment Amount |
433077.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
13228 |
Number Of Medicare Beneficiaries With Drug Services |
236 |
Total Drug Submitted ChargeAmount |
17287 |
Total Drug Medicare AllowedAmount |
4277.99 |
Total Drug Medicare PaymentAmount |
3338.92 |
Total Drug Medicare Standardized Payment Amount |
3338.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
222 |
Number Of Medical Services |
11587 |
Number Of Medicare Beneficiaries With Medical Services |
7750 |
Total Medical Submitted Charge Amount |
1625615 |
Total Medical Medicare Allowed Amount |
556697.36 |
Total Medical Medicare Payment Amount |
421838.27 |
Total Medical Medicare Standardized Payment Amount |
429738.4 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
622 |
Number Of Beneficiaries Age 65 to 74 |
2698 |
Number Of Beneficiaries Age 75 to 84 |
2609 |
Number Of Beneficiaries Age Greater 84 |
1821 |
Number Of Female Beneficiaries |
4345 |
Number Of Male Beneficiaries |
3405 |
Number Of Non Hispanic White Beneficiaries |
7089 |
Number Of Black or African American Beneficiaries |
286 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
227 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
92 |
Number Of Beneficiaries With Medicare Only Entitlement |
6707 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1043 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5236 |