National Provider Identifier [NPI]: |
1831172048 |
Last Name Of The Provider |
CAHALL |
First Name Of The Provider |
CLEMENT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
205 W SIXTH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
EAST LIVERPOOL |
Zip Code Of The Provider |
439202801 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
4464.5 |
Number Of Medicare Beneficiaries |
548 |
Total Submitted Charge Amount |
432944 |
Total Medicare Allowed Amount |
322686.34 |
Total Medicare Payment Amount |
229532.28 |
Total Medicare Standardized Payment Amount |
241551.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
264.5 |
Number Of Medicare Beneficiaries With Drug Services |
158 |
Total Drug Submitted ChargeAmount |
7875 |
Total Drug Medicare AllowedAmount |
2738.8 |
Total Drug Medicare PaymentAmount |
2406.02 |
Total Drug Medicare Standardized Payment Amount |
2406.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
4200 |
Number Of Medicare Beneficiaries With Medical Services |
547 |
Total Medical Submitted Charge Amount |
425069 |
Total Medical Medicare Allowed Amount |
319947.54 |
Total Medical Medicare Payment Amount |
227126.26 |
Total Medical Medicare Standardized Payment Amount |
239145.51 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
164 |
Number Of Beneficiaries Age 75 to 84 |
174 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
358 |
Number Of Male Beneficiaries |
190 |
Number Of Non Hispanic White Beneficiaries |
534 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
405 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
143 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4101 |