National Provider Identifier [NPI]: |
1548226186 |
Last Name Of The Provider |
SOGES |
First Name Of The Provider |
LAURENCE |
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 |
GEISINGER MEDICAL CENTER, DEPT RADIOLOGY |
Street Address 2 Of The Provider |
100 N ACADEMY AVE |
City Of The Provider |
DANVILLE |
Zip Code Of The Provider |
178220001 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
3410 |
Number Of Medicare Beneficiaries |
1667 |
Total Submitted Charge Amount |
1011325.75 |
Total Medicare Allowed Amount |
118669.96 |
Total Medicare Payment Amount |
87521.65 |
Total Medicare Standardized Payment Amount |
94708.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1040 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
4496.75 |
Total Drug Medicare AllowedAmount |
446.95 |
Total Drug Medicare PaymentAmount |
305.95 |
Total Drug Medicare Standardized Payment Amount |
305.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
2370 |
Number Of Medicare Beneficiaries With Medical Services |
1667 |
Total Medical Submitted Charge Amount |
1006829 |
Total Medical Medicare Allowed Amount |
118223.01 |
Total Medical Medicare Payment Amount |
87215.7 |
Total Medical Medicare Standardized Payment Amount |
94402.34 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
436 |
Number Of Beneficiaries Age 65 to 74 |
517 |
Number Of Beneficiaries Age 75 to 84 |
423 |
Number Of Beneficiaries Age Greater 84 |
291 |
Number Of Female Beneficiaries |
926 |
Number Of Male Beneficiaries |
741 |
Number Of Non Hispanic White Beneficiaries |
1594 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1130 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
537 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
1.6585 |