Prime Diagnostic Imaging Of Fort Worth, Llc

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NPI Number Detailed Information

Provider Information:

Name:	Prime Diagnostic Imaging Of Fort Worth, Llc
Gender:
Provider License Number If Given:

NPI Information:

NPI:	1790233294
Entity Type (Individual or Organization):	2-org
Enumeration Date:	9/14/2016
Last Update Date:	12/16/2016

Provider Business Mailing Address:

Address:	PO BOX 821868 Dallas, TX 75382
Phone Number:	2143418770
Fax Number:	2143411603

Provider Business Practice Location Address:

Address:	6491 SOUTHWEST BLVD. Benbrook, TX 76132
Phone Number:	2143418770
Fax Number:	2143411603

Provider Taxonomy:

Primary:	261QM1200X
Secondary (if any):
State:	TX

Top Doctors in TX

About Prime Diagnostic Imaging Of Fort Worth, Llc

Prime Diagnostic Imaging Of Fort Worth, Llc ( PRIME DIAGNOSTIC IMAGING OF FORT WORTH, LLC ) is Definition Clinic/Center Provider in Benbrook, TX. The NPI Number for Prime Diagnostic Imaging Of Fort Worth, Llc is 1790233294.

The current location address for Prime Diagnostic Imaging Of Fort Worth, Llc is 6491 SOUTHWEST BLVD. Benbrook, TX 76132 and the contact number is 2143418770 and fax number is 2143411603. The mailing address for Prime Diagnostic Imaging Of Fort Worth, Llc is PO BOX 821868 Dallas, TX 75382- 2143418770 (mailing address contact number - 2143418770).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Prime Diagnostic Imaging Of Fort Worth, Llc ?

Answer: The NPI Number for Prime Diagnostic Imaging Of Fort Worth, Llc is 1790233294

Where is Prime Diagnostic Imaging Of Fort Worth, Llc located?

Answer: Prime Diagnostic Imaging Of Fort Worth, Llc is located at 6491 SOUTHWEST BLVD. Benbrook, TX 76132.

What is the specialty for Prime Diagnostic Imaging Of Fort Worth, Llc ?

Answer: The Specialty of Prime Diagnostic Imaging Of Fort Worth, Llc is Definition Clinic/Center Provider.

Are there any online reviews for Prime Diagnostic Imaging Of Fort Worth, Llc ?

Answer: Not yet!

Are there any other health care providers in Benbrook, TX?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Prime Diagnostic Imaging Of Fort Worth, Llc

Number of HCPCS	36
Number of Medicare Beneficiaries	34
Number of Services	869
Total Submitted Charge Amount	87903
Total Medicare Allowed Amount	9802.23
Total Medicare Payment Amount	7621.9
Total Medicare Standardized Payment Amount	7444.13
Drug Suppress Indicator	*
Number of HCPCS Associated With Drug Services
Number of Medicare Beneficiaries With Drug Services
Number of Drug Services
Total Drug Submitted Charge Amount
Total Drug Medicare Allowed Amount
Total Drug Medicare Payment Amount
Total Drug Medicare Standardized Payment Amount
Medical Suppress Indicator	#
Number of HCPCS Associated With Medical Services
Number of Medicare Beneficiaries With Medical
Number of Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age of Beneficiaries	70
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74	19
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	21
Number of Male Beneficiaries	13
Number of Non-Hispanic White Beneficiaries	17
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.41
Percent (%) of Beneficiaries Identified With Hypertension	0.56
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.35
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.53
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	1.0491

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