National Provider Identifier [NPI]: |
1922064484 |
Last Name Of The Provider |
RABKIN |
First Name Of The Provider |
ELIZABETH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
222 PIEDMONT AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
45219 |
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 |
39 |
Number Of Services |
1465 |
Number Of Medicare Beneficiaries |
383 |
Total Submitted Charge Amount |
244644 |
Total Medicare Allowed Amount |
101382.32 |
Total Medicare Payment Amount |
74756.21 |
Total Medicare Standardized Payment Amount |
78080.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
167 |
Number Of Medicare Beneficiaries With Drug Services |
129 |
Total Drug Submitted ChargeAmount |
8810 |
Total Drug Medicare AllowedAmount |
5604.21 |
Total Drug Medicare PaymentAmount |
5464.17 |
Total Drug Medicare Standardized Payment Amount |
5464.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1298 |
Number Of Medicare Beneficiaries With Medical Services |
383 |
Total Medical Submitted Charge Amount |
235834 |
Total Medical Medicare Allowed Amount |
95778.11 |
Total Medical Medicare Payment Amount |
69292.04 |
Total Medical Medicare Standardized Payment Amount |
72616.63 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
159 |
Number Of Beneficiaries Age 75 to 84 |
84 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
299 |
Number Of Male Beneficiaries |
84 |
Number Of Non Hispanic White Beneficiaries |
268 |
Number Of Black or African American Beneficiaries |
97 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
279 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
104 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.477 |