| National Provider Identifier [NPI]: | 1285859744 |
| Last Name Of The Provider | KENNEDY |
| First Name Of The Provider | RICHARD |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 206 E BROWN ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | EAST STROUDSBURG |
| Zip Code Of The Provider | 183013006 |
| 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 | 135 |
| Number Of Services | 10199 |
| Number Of Medicare Beneficiaries | 4794 |
| Total Submitted Charge Amount | 624157 |
| Total Medicare Allowed Amount | 164476.36 |
| Total Medicare Payment Amount | 126302.27 |
| Total Medicare Standardized Payment Amount | 129335.19 |
| 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 | 135 |
| Number Of Medical Services | 10199 |
| Number Of Medicare Beneficiaries With Medical Services | 4794 |
| Total Medical Submitted Charge Amount | 624157 |
| Total Medical Medicare Allowed Amount | 164476.36 |
| Total Medical Medicare Payment Amount | 126302.27 |
| Total Medical Medicare Standardized Payment Amount | 129335.19 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 1005 |
| Number Of Beneficiaries Age 65 to 74 | 1690 |
| Number Of Beneficiaries Age 75 to 84 | 1344 |
| Number Of Beneficiaries Age Greater 84 | 755 |
| Number Of Female Beneficiaries | 2720 |
| Number Of Male Beneficiaries | 2074 |
| Number Of Non Hispanic White Beneficiaries | 3914 |
| Number Of Black or African American Beneficiaries | 438 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 349 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 53 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3672 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1122 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.6419 |