National Provider Identifier [NPI]: |
1669426896 |
Last Name Of The Provider |
PSCHESANG |
First Name Of The Provider |
BENJAMIN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9825 KENWOOD RD |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
BLUE ASH |
Zip Code Of The Provider |
452426251 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
181 |
Number Of Services |
4742 |
Number Of Medicare Beneficiaries |
3434 |
Total Submitted Charge Amount |
621956 |
Total Medicare Allowed Amount |
189663.41 |
Total Medicare Payment Amount |
139757.1 |
Total Medicare Standardized Payment Amount |
144879.45 |
Drug Suppress Indicator |
* |
Number Of HCPCS Associated With Drug Services |
|
Number Of Drug Services |
|
Number Of Medicare Beneficiaries With Drug Services |
|
Total Drug Submitted ChargeAmount |
|
Total Drug Medicare AllowedAmount |
|
Total Drug Medicare PaymentAmount |
|
Total Drug Medicare Standardized Payment Amount |
|
Medical SuppressIndicator |
# |
Number Of HCPCS Associated With MedicalServices |
|
Number Of Medical Services |
|
Number Of Medicare Beneficiaries With 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 |
72 |
Number Of Beneficiaries Age Less65 |
699 |
Number Of Beneficiaries Age 65 to 74 |
1247 |
Number Of Beneficiaries Age 75 to 84 |
954 |
Number Of Beneficiaries Age Greater 84 |
534 |
Number Of Female Beneficiaries |
2023 |
Number Of Male Beneficiaries |
1411 |
Number Of Non Hispanic White Beneficiaries |
2797 |
Number Of Black or African American Beneficiaries |
542 |
Number Of AsianPacific Islander Beneficiaries |
22 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
54 |
Number Of Beneficiaries With Medicare Only Entitlement |
2628 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
806 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.9294 |