National Provider Identifier [NPI]: |
1427054766 |
Last Name Of The Provider |
MECHANIC |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2501 KUSER RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAMILTON |
Zip Code Of The Provider |
086913386 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
165 |
Number Of Services |
6203 |
Number Of Medicare Beneficiaries |
3510 |
Total Submitted Charge Amount |
667330 |
Total Medicare Allowed Amount |
181684.83 |
Total Medicare Payment Amount |
139519.92 |
Total Medicare Standardized Payment Amount |
135142.23 |
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 |
165 |
Number Of Medical Services |
6203 |
Number Of Medicare Beneficiaries With Medical Services |
3510 |
Total Medical Submitted Charge Amount |
667330 |
Total Medical Medicare Allowed Amount |
181684.83 |
Total Medical Medicare Payment Amount |
139519.92 |
Total Medical Medicare Standardized Payment Amount |
135142.23 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
629 |
Number Of Beneficiaries Age 65 to 74 |
1255 |
Number Of Beneficiaries Age 75 to 84 |
905 |
Number Of Beneficiaries Age Greater 84 |
721 |
Number Of Female Beneficiaries |
2229 |
Number Of Male Beneficiaries |
1281 |
Number Of Non Hispanic White Beneficiaries |
3015 |
Number Of Black or African American Beneficiaries |
314 |
Number Of AsianPacific Islander Beneficiaries |
68 |
Number Of Hispanic Beneficiaries |
76 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2728 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
782 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.7052 |