| National Provider Identifier [NPI]: | 1184829343 |
| Last Name Of The Provider | SCANLAN |
| First Name Of The Provider | MICHAEL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 100 E LANCASTER AVE |
| Street Address 2 Of The Provider | LANKENAU MEDICAL CENTER RADIOLOGY DEPARTMENT |
| City Of The Provider | WYNNEWOOD |
| Zip Code Of The Provider | 190963450 |
| 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 | 156 |
| Number Of Services | 5248 |
| Number Of Medicare Beneficiaries | 3215 |
| Total Submitted Charge Amount | 1194028.38 |
| Total Medicare Allowed Amount | 257791.83 |
| Total Medicare Payment Amount | 199919.82 |
| Total Medicare Standardized Payment Amount | 192655.77 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 683 |
| Number Of Medicare Beneficiaries With Drug Services | 72 |
| Total Drug Submitted ChargeAmount | 3369.38 |
| Total Drug Medicare AllowedAmount | 550.74 |
| Total Drug Medicare PaymentAmount | 431.78 |
| Total Drug Medicare Standardized Payment Amount | 431.78 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 154 |
| Number Of Medical Services | 4565 |
| Number Of Medicare Beneficiaries With Medical Services | 3215 |
| Total Medical Submitted Charge Amount | 1190659 |
| Total Medical Medicare Allowed Amount | 257241.09 |
| Total Medical Medicare Payment Amount | 199488.04 |
| Total Medical Medicare Standardized Payment Amount | 192223.99 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 279 |
| Number Of Beneficiaries Age 65 to 74 | 1127 |
| Number Of Beneficiaries Age 75 to 84 | 1002 |
| Number Of Beneficiaries Age Greater 84 | 807 |
| Number Of Female Beneficiaries | 1944 |
| Number Of Male Beneficiaries | 1271 |
| Number Of Non Hispanic White Beneficiaries | 2833 |
| Number Of Black or African American Beneficiaries | 284 |
| Number Of AsianPacific Islander Beneficiaries | 36 |
| Number Of Hispanic Beneficiaries | 29 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 33 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2830 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 385 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 25 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 67 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 51 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 17 |
| Average HCC Risk Score Of Beneficiaries | 1.725 |