| National Provider Identifier [NPI]: | 1447312392 |
| Last Name Of The Provider | SLONE |
| First Name Of The Provider | JENIFER |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 5501 OLD YORK RD |
| Street Address 2 Of The Provider | LEVY BLDG. GROUND FLOOR |
| City Of The Provider | PHILADELPHIA |
| Zip Code Of The Provider | 191413018 |
| 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 | 149 |
| Number Of Services | 5944 |
| Number Of Medicare Beneficiaries | 3221 |
| Total Submitted Charge Amount | 1361272.82 |
| Total Medicare Allowed Amount | 279324.62 |
| Total Medicare Payment Amount | 215873.67 |
| Total Medicare Standardized Payment Amount | 208968.67 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1022 |
| Number Of Medicare Beneficiaries With Drug Services | 105 |
| Total Drug Submitted ChargeAmount | 4444.82 |
| Total Drug Medicare AllowedAmount | 480.25 |
| Total Drug Medicare PaymentAmount | 368.09 |
| Total Drug Medicare Standardized Payment Amount | 368.09 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 147 |
| Number Of Medical Services | 4922 |
| Number Of Medicare Beneficiaries With Medical Services | 3220 |
| Total Medical Submitted Charge Amount | 1356828 |
| Total Medical Medicare Allowed Amount | 278844.37 |
| Total Medical Medicare Payment Amount | 215505.58 |
| Total Medical Medicare Standardized Payment Amount | 208600.58 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 263 |
| Number Of Beneficiaries Age 65 to 74 | 1072 |
| Number Of Beneficiaries Age 75 to 84 | 1063 |
| Number Of Beneficiaries Age Greater 84 | 823 |
| Number Of Female Beneficiaries | 1932 |
| Number Of Male Beneficiaries | 1289 |
| Number Of Non Hispanic White Beneficiaries | 2927 |
| Number Of Black or African American Beneficiaries | 194 |
| Number Of AsianPacific Islander Beneficiaries | 32 |
| Number Of Hispanic Beneficiaries | 20 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 48 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2899 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 322 |
| Percent Of With Atrial Fibrillation | 25 |
| Percent Of With Alzheimers Disease or Dementia | 25 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 20 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 49 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 49 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 19 |
| Average HCC Risk Score Of Beneficiaries | 1.65 |