National Provider Identifier [NPI]: |
1326095704 |
Last Name Of The Provider |
TRUHLAR |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2769 HEARTLAND DRIVE |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
CORALVILLE |
Zip Code Of The Provider |
52241 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
166 |
Number Of Services |
6037 |
Number Of Medicare Beneficiaries |
2134 |
Total Submitted Charge Amount |
504810 |
Total Medicare Allowed Amount |
137167.93 |
Total Medicare Payment Amount |
101832.62 |
Total Medicare Standardized Payment Amount |
110759.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2670 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
3853 |
Total Drug Medicare AllowedAmount |
904.86 |
Total Drug Medicare PaymentAmount |
709.4 |
Total Drug Medicare Standardized Payment Amount |
709.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
164 |
Number Of Medical Services |
3367 |
Number Of Medicare Beneficiaries With Medical Services |
2134 |
Total Medical Submitted Charge Amount |
500957 |
Total Medical Medicare Allowed Amount |
136263.07 |
Total Medical Medicare Payment Amount |
101123.22 |
Total Medical Medicare Standardized Payment Amount |
110049.61 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
196 |
Number Of Beneficiaries Age 65 to 74 |
823 |
Number Of Beneficiaries Age 75 to 84 |
709 |
Number Of Beneficiaries Age Greater 84 |
406 |
Number Of Female Beneficiaries |
1272 |
Number Of Male Beneficiaries |
862 |
Number Of Non Hispanic White Beneficiaries |
2074 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1879 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
255 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1417 |