National Provider Identifier [NPI]: |
1396732483 |
Last Name Of The Provider |
VOLOVAR |
First Name Of The Provider |
CHAD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7629 MARKET STREET |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
YOUNGSTOWN |
Zip Code Of The Provider |
445124077 |
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 |
41 |
Number Of Services |
793 |
Number Of Medicare Beneficiaries |
163 |
Total Submitted Charge Amount |
60473 |
Total Medicare Allowed Amount |
50279.05 |
Total Medicare Payment Amount |
34829.2 |
Total Medicare Standardized Payment Amount |
37505.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
74 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
1519 |
Total Drug Medicare AllowedAmount |
959.63 |
Total Drug Medicare PaymentAmount |
901.67 |
Total Drug Medicare Standardized Payment Amount |
901.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
719 |
Number Of Medicare Beneficiaries With Medical Services |
163 |
Total Medical Submitted Charge Amount |
58954 |
Total Medical Medicare Allowed Amount |
49319.42 |
Total Medical Medicare Payment Amount |
33927.53 |
Total Medical Medicare Standardized Payment Amount |
36604.27 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
75 |
Number Of Beneficiaries Age 75 to 84 |
40 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
95 |
Number Of Male Beneficiaries |
68 |
Number Of Non Hispanic White Beneficiaries |
149 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
136 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2224 |