National Provider Identifier [NPI]: |
1285697482 |
Last Name Of The Provider |
BARAN |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9500 EUCLID AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLEVELAND |
Zip Code Of The Provider |
441950001 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
4867 |
Number Of Medicare Beneficiaries |
3323 |
Total Submitted Charge Amount |
762135 |
Total Medicare Allowed Amount |
116195.68 |
Total Medicare Payment Amount |
86491.79 |
Total Medicare Standardized Payment Amount |
83020.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
4867 |
Number Of Medicare Beneficiaries With Medical Services |
3323 |
Total Medical Submitted Charge Amount |
762135 |
Total Medical Medicare Allowed Amount |
116195.68 |
Total Medical Medicare Payment Amount |
86491.79 |
Total Medical Medicare Standardized Payment Amount |
83020.87 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
717 |
Number Of Beneficiaries Age 65 to 74 |
907 |
Number Of Beneficiaries Age 75 to 84 |
897 |
Number Of Beneficiaries Age Greater 84 |
802 |
Number Of Female Beneficiaries |
1862 |
Number Of Male Beneficiaries |
1461 |
Number Of Non Hispanic White Beneficiaries |
2382 |
Number Of Black or African American Beneficiaries |
663 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
195 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
40 |
Number Of Beneficiaries With Medicare Only Entitlement |
2132 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1191 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.2794 |