National Provider Identifier [NPI]: |
1730181074 |
Last Name Of The Provider |
NEWMAN |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
225 E JACKSON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
JONESBORO |
Zip Code Of The Provider |
724013119 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
187 |
Number Of Services |
5815 |
Number Of Medicare Beneficiaries |
3525 |
Total Submitted Charge Amount |
636741.36 |
Total Medicare Allowed Amount |
203602.53 |
Total Medicare Payment Amount |
159183.54 |
Total Medicare Standardized Payment Amount |
175118.76 |
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 |
187 |
Number Of Medical Services |
5815 |
Number Of Medicare Beneficiaries With Medical Services |
3525 |
Total Medical Submitted Charge Amount |
636741.36 |
Total Medical Medicare Allowed Amount |
203602.53 |
Total Medical Medicare Payment Amount |
159183.54 |
Total Medical Medicare Standardized Payment Amount |
175118.76 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
835 |
Number Of Beneficiaries Age 65 to 74 |
1467 |
Number Of Beneficiaries Age 75 to 84 |
891 |
Number Of Beneficiaries Age Greater 84 |
332 |
Number Of Female Beneficiaries |
2575 |
Number Of Male Beneficiaries |
950 |
Number Of Non Hispanic White Beneficiaries |
3243 |
Number Of Black or African American Beneficiaries |
238 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2460 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1065 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2422 |