National Provider Identifier [NPI]: |
1871755199 |
Last Name Of The Provider |
ONDREJKA |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
525 E MARKET ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
AKRON |
Zip Code Of The Provider |
443041423 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
1131 |
Number Of Medicare Beneficiaries |
783 |
Total Submitted Charge Amount |
534047 |
Total Medicare Allowed Amount |
122019.28 |
Total Medicare Payment Amount |
93682.66 |
Total Medicare Standardized Payment Amount |
94627.4 |
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 |
32 |
Number Of Medical Services |
1131 |
Number Of Medicare Beneficiaries With Medical Services |
783 |
Total Medical Submitted Charge Amount |
534047 |
Total Medical Medicare Allowed Amount |
122019.28 |
Total Medical Medicare Payment Amount |
93682.66 |
Total Medical Medicare Standardized Payment Amount |
94627.4 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
225 |
Number Of Beneficiaries Age 65 to 74 |
197 |
Number Of Beneficiaries Age 75 to 84 |
171 |
Number Of Beneficiaries Age Greater 84 |
190 |
Number Of Female Beneficiaries |
454 |
Number Of Male Beneficiaries |
329 |
Number Of Non Hispanic White Beneficiaries |
573 |
Number Of Black or African American Beneficiaries |
199 |
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 |
477 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
306 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.0575 |