| National Provider Identifier [NPI]: | 1609934694 |
| Last Name Of The Provider | ZICHERMAN |
| First Name Of The Provider | JASON |
| 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 | 1255 S CEDAR CREST BLVD |
| Street Address 2 Of The Provider | SUITE 3600 |
| City Of The Provider | ALLENTOWN |
| Zip Code Of The Provider | 181036256 |
| 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 | 143 |
| Number Of Services | 5274 |
| Number Of Medicare Beneficiaries | 3217 |
| Total Submitted Charge Amount | 907815.88 |
| Total Medicare Allowed Amount | 219047.93 |
| Total Medicare Payment Amount | 166336.31 |
| Total Medicare Standardized Payment Amount | 175726.53 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 806 |
| Number Of Medicare Beneficiaries With Drug Services | 20 |
| Total Drug Submitted ChargeAmount | 3620 |
| Total Drug Medicare AllowedAmount | 671.68 |
| Total Drug Medicare PaymentAmount | 504.33 |
| Total Drug Medicare Standardized Payment Amount | 504.33 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 141 |
| Number Of Medical Services | 4468 |
| Number Of Medicare Beneficiaries With Medical Services | 3217 |
| Total Medical Submitted Charge Amount | 904195.88 |
| Total Medical Medicare Allowed Amount | 218376.25 |
| Total Medical Medicare Payment Amount | 165831.98 |
| Total Medical Medicare Standardized Payment Amount | 175222.2 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 592 |
| Number Of Beneficiaries Age 65 to 74 | 993 |
| Number Of Beneficiaries Age 75 to 84 | 960 |
| Number Of Beneficiaries Age Greater 84 | 672 |
| Number Of Female Beneficiaries | 1857 |
| Number Of Male Beneficiaries | 1360 |
| Number Of Non Hispanic White Beneficiaries | 2931 |
| Number Of Black or African American Beneficiaries | 79 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 141 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 35 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2514 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 703 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 39 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 19 |
| Average HCC Risk Score Of Beneficiaries | 1.8743 |