National Provider Identifier [NPI]: |
1053308320 |
Last Name Of The Provider |
HRONAS |
First Name Of The Provider |
THEODORE |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4401 OAKS BLUFF DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
LITTLE ROCK |
Zip Code Of The Provider |
722234367 |
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 |
94 |
Number Of Services |
56103 |
Number Of Medicare Beneficiaries |
1711 |
Total Submitted Charge Amount |
2724534 |
Total Medicare Allowed Amount |
869414.14 |
Total Medicare Payment Amount |
668508.11 |
Total Medicare Standardized Payment Amount |
710019.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
50423 |
Number Of Medicare Beneficiaries With Drug Services |
440 |
Total Drug Submitted ChargeAmount |
23254 |
Total Drug Medicare AllowedAmount |
9580.33 |
Total Drug Medicare PaymentAmount |
6957.69 |
Total Drug Medicare Standardized Payment Amount |
6957.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
5680 |
Number Of Medicare Beneficiaries With Medical Services |
1711 |
Total Medical Submitted Charge Amount |
2701280 |
Total Medical Medicare Allowed Amount |
859833.81 |
Total Medical Medicare Payment Amount |
661550.42 |
Total Medical Medicare Standardized Payment Amount |
703061.38 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
337 |
Number Of Beneficiaries Age 65 to 74 |
821 |
Number Of Beneficiaries Age 75 to 84 |
450 |
Number Of Beneficiaries Age Greater 84 |
103 |
Number Of Female Beneficiaries |
1079 |
Number Of Male Beneficiaries |
632 |
Number Of Non Hispanic White Beneficiaries |
1392 |
Number Of Black or African American Beneficiaries |
292 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1442 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
269 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
53 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.6945 |