National Provider Identifier [NPI]: |
1972594695 |
Last Name Of The Provider |
STUHLFAUT |
First Name Of The Provider |
JOSHUA |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
55 FRUIT ST |
Street Address 2 Of The Provider |
FND 2 RADIOLOGICAL ASSOCIATES |
City Of The Provider |
BOSTON |
Zip Code Of The Provider |
021142696 |
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 |
196 |
Number Of Services |
8331 |
Number Of Medicare Beneficiaries |
4487 |
Total Submitted Charge Amount |
801273 |
Total Medicare Allowed Amount |
259390.01 |
Total Medicare Payment Amount |
199620.68 |
Total Medicare Standardized Payment Amount |
199293.32 |
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 |
196 |
Number Of Medical Services |
8331 |
Number Of Medicare Beneficiaries With Medical Services |
4487 |
Total Medical Submitted Charge Amount |
801273 |
Total Medical Medicare Allowed Amount |
259390.01 |
Total Medical Medicare Payment Amount |
199620.68 |
Total Medical Medicare Standardized Payment Amount |
199293.32 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
578 |
Number Of Beneficiaries Age 65 to 74 |
1906 |
Number Of Beneficiaries Age 75 to 84 |
1264 |
Number Of Beneficiaries Age Greater 84 |
739 |
Number Of Female Beneficiaries |
2910 |
Number Of Male Beneficiaries |
1577 |
Number Of Non Hispanic White Beneficiaries |
4312 |
Number Of Black or African American Beneficiaries |
51 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
68 |
Number Of Beneficiaries With Medicare Only Entitlement |
3582 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
905 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3712 |