National Provider Identifier [NPI]: |
1083806350 |
Last Name Of The Provider |
TANG |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
125 PARKER HILL AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOSTON |
Zip Code Of The Provider |
021202847 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
181 |
Number Of Services |
6503 |
Number Of Medicare Beneficiaries |
2886 |
Total Submitted Charge Amount |
722999.04 |
Total Medicare Allowed Amount |
164146.39 |
Total Medicare Payment Amount |
124529.1 |
Total Medicare Standardized Payment Amount |
116578.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1876 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
8417.18 |
Total Drug Medicare AllowedAmount |
859.15 |
Total Drug Medicare PaymentAmount |
673.56 |
Total Drug Medicare Standardized Payment Amount |
673.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
178 |
Number Of Medical Services |
4627 |
Number Of Medicare Beneficiaries With Medical Services |
2886 |
Total Medical Submitted Charge Amount |
714581.86 |
Total Medical Medicare Allowed Amount |
163287.24 |
Total Medical Medicare Payment Amount |
123855.54 |
Total Medical Medicare Standardized Payment Amount |
115904.88 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
357 |
Number Of Beneficiaries Age 65 to 74 |
1330 |
Number Of Beneficiaries Age 75 to 84 |
807 |
Number Of Beneficiaries Age Greater 84 |
392 |
Number Of Female Beneficiaries |
1741 |
Number Of Male Beneficiaries |
1145 |
Number Of Non Hispanic White Beneficiaries |
2645 |
Number Of Black or African American Beneficiaries |
85 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
79 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
53 |
Number Of Beneficiaries With Medicare Only Entitlement |
2324 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
562 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3652 |