National Provider Identifier [NPI]: |
1992799191 |
Last Name Of The Provider |
MILLER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3401 ENTERPRISE PKWY |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
BEACHWOOD |
Zip Code Of The Provider |
441227341 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
18236 |
Number Of Medicare Beneficiaries |
1488 |
Total Submitted Charge Amount |
5435506 |
Total Medicare Allowed Amount |
2946520.24 |
Total Medicare Payment Amount |
2272678.08 |
Total Medicare Standardized Payment Amount |
2295790.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
4324 |
Number Of Medicare Beneficiaries With Drug Services |
221 |
Total Drug Submitted ChargeAmount |
2720886 |
Total Drug Medicare AllowedAmount |
1643738.12 |
Total Drug Medicare PaymentAmount |
1288593.74 |
Total Drug Medicare Standardized Payment Amount |
1288593.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
13912 |
Number Of Medicare Beneficiaries With Medical Services |
1487 |
Total Medical Submitted Charge Amount |
2714620 |
Total Medical Medicare Allowed Amount |
1302782.12 |
Total Medical Medicare Payment Amount |
984084.34 |
Total Medical Medicare Standardized Payment Amount |
1007196.53 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
548 |
Number Of Beneficiaries Age 75 to 84 |
528 |
Number Of Beneficiaries Age Greater 84 |
339 |
Number Of Female Beneficiaries |
814 |
Number Of Male Beneficiaries |
674 |
Number Of Non Hispanic White Beneficiaries |
1350 |
Number Of Black or African American Beneficiaries |
74 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1341 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
147 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4463 |