National Provider Identifier [NPI]: |
1497865406 |
Last Name Of The Provider |
ZADIKOFF |
First Name Of The Provider |
COLIN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4805 MONTGOMERY RD |
Street Address 2 Of The Provider |
SUITE 410 |
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452122198 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
99873 |
Number Of Medicare Beneficiaries |
649 |
Total Submitted Charge Amount |
3520683 |
Total Medicare Allowed Amount |
1487677.15 |
Total Medicare Payment Amount |
1141274.69 |
Total Medicare Standardized Payment Amount |
1144906.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
98327 |
Number Of Medicare Beneficiaries With Drug Services |
101 |
Total Drug Submitted ChargeAmount |
2960233 |
Total Drug Medicare AllowedAmount |
1314796.85 |
Total Drug Medicare PaymentAmount |
1014601.74 |
Total Drug Medicare Standardized Payment Amount |
1014601.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
1546 |
Number Of Medicare Beneficiaries With Medical Services |
649 |
Total Medical Submitted Charge Amount |
560450 |
Total Medical Medicare Allowed Amount |
172880.3 |
Total Medical Medicare Payment Amount |
126672.95 |
Total Medical Medicare Standardized Payment Amount |
130304.32 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
230 |
Number Of Beneficiaries Age 65 to 74 |
206 |
Number Of Beneficiaries Age 75 to 84 |
148 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
396 |
Number Of Male Beneficiaries |
253 |
Number Of Non Hispanic White Beneficiaries |
513 |
Number Of Black or African American Beneficiaries |
120 |
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 |
418 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
231 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
1.4922 |