National Provider Identifier [NPI]: |
1831310770 |
Last Name Of The Provider |
HANSHAW |
First Name Of The Provider |
AARON |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8940 KINGSRIDGE DR |
Street Address 2 Of The Provider |
STE 103 |
City Of The Provider |
DAYTON |
Zip Code Of The Provider |
454581632 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
1475 |
Number Of Medicare Beneficiaries |
315 |
Total Submitted Charge Amount |
101605 |
Total Medicare Allowed Amount |
90780.93 |
Total Medicare Payment Amount |
63349.23 |
Total Medicare Standardized Payment Amount |
69020.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
202 |
Number Of Medicare Beneficiaries With Drug Services |
89 |
Total Drug Submitted ChargeAmount |
2985 |
Total Drug Medicare AllowedAmount |
1081.83 |
Total Drug Medicare PaymentAmount |
894.87 |
Total Drug Medicare Standardized Payment Amount |
894.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
1273 |
Number Of Medicare Beneficiaries With Medical Services |
315 |
Total Medical Submitted Charge Amount |
98620 |
Total Medical Medicare Allowed Amount |
89699.1 |
Total Medical Medicare Payment Amount |
62454.36 |
Total Medical Medicare Standardized Payment Amount |
68125.77 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
128 |
Number Of Beneficiaries Age 75 to 84 |
67 |
Number Of Beneficiaries Age Greater 84 |
28 |
Number Of Female Beneficiaries |
169 |
Number Of Male Beneficiaries |
146 |
Number Of Non Hispanic White Beneficiaries |
289 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
237 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5057 |