National Provider Identifier [NPI]: |
1548224504 |
Last Name Of The Provider |
SEILER |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7211 N MAIN ST |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
DAYTON |
Zip Code Of The Provider |
454152566 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
2855 |
Number Of Medicare Beneficiaries |
382 |
Total Submitted Charge Amount |
214039 |
Total Medicare Allowed Amount |
136178.17 |
Total Medicare Payment Amount |
93940.15 |
Total Medicare Standardized Payment Amount |
98257.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
472 |
Number Of Medicare Beneficiaries With Drug Services |
197 |
Total Drug Submitted ChargeAmount |
18754 |
Total Drug Medicare AllowedAmount |
9141.56 |
Total Drug Medicare PaymentAmount |
8849.51 |
Total Drug Medicare Standardized Payment Amount |
8849.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
2383 |
Number Of Medicare Beneficiaries With Medical Services |
382 |
Total Medical Submitted Charge Amount |
195285 |
Total Medical Medicare Allowed Amount |
127036.61 |
Total Medical Medicare Payment Amount |
85090.64 |
Total Medical Medicare Standardized Payment Amount |
89408.03 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
198 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
197 |
Number Of Male Beneficiaries |
185 |
Number Of Non Hispanic White Beneficiaries |
326 |
Number Of Black or African American Beneficiaries |
42 |
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 |
360 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.992 |