Medicare Facts for Dejan Zivkovic, MS


National Provider Identifier [NPI]: 1255333282
Last Name Of The Provider ZIVKOVIC
First Name Of The Provider DEJAN
Middle Initial Of The Provider
Credentials Of The Provider MS
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 850 COLUMBIA RD
Street Address 2 Of The Provider
City Of The Provider WESTLAKE
Zip Code Of The Provider 441451493
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Anesthesiologist Assistants
Medicare Participation Indicator Y
Number Of HCPCS 46
Number Of Services 136
Number Of Medicare Beneficiaries 130
Total Submitted Charge Amount 195613.03
Total Medicare Allowed Amount 19140.85
Total Medicare Payment Amount 14783.9
Total Medicare Standardized Payment Amount 15110.43
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 46
Number Of Medical Services 136
Number Of Medicare Beneficiaries With Medical Services 130
Total Medical Submitted Charge Amount 195613.03
Total Medical Medicare Allowed Amount 19140.85
Total Medical Medicare Payment Amount 14783.9
Total Medical Medicare Standardized Payment Amount 15110.43
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 16
Number Of Beneficiaries Age 65 to 74 58
Number Of Beneficiaries Age 75 to 84 38
Number Of Beneficiaries Age Greater 84 18
Number Of Female Beneficiaries 69
Number Of Male Beneficiaries 61
Number Of Non Hispanic White Beneficiaries 118
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 104
Number Of Beneficiaries With Medicare Medicaid Entitlement 26
Percent Of With Atrial Fibrillation 18
Percent Of With Alzheimers Disease or Dementia 14
Percent Of With Asthma 9
Percent Of With Cancer 15
Percent Of With Heart Failure 28
Percent Of With Chronic Kidney Disease 35
Percent Of With Chronic Obstructive Pulmonary Disease 25
Percent Of With Depression 32
Percent Of With Diabetes 38
Percent Of With Hyperlipidemia 70
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 46
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 57
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 2.0927

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