National Provider Identifier [NPI]: |
1578582227 |
Last Name Of The Provider |
SALTZMAN |
First Name Of The Provider |
JOEL |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9485 MENTOR AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MENTOR |
Zip Code Of The Provider |
440604597 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
121 |
Number Of Services |
70504 |
Number Of Medicare Beneficiaries |
581 |
Total Submitted Charge Amount |
3583053.85 |
Total Medicare Allowed Amount |
1325249.91 |
Total Medicare Payment Amount |
1020228.76 |
Total Medicare Standardized Payment Amount |
1021279.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
79 |
Number Of Drug Services |
65189 |
Number Of Medicare Beneficiaries With Drug Services |
217 |
Total Drug Submitted ChargeAmount |
2800870.85 |
Total Drug Medicare AllowedAmount |
1006032.47 |
Total Drug Medicare PaymentAmount |
778824.94 |
Total Drug Medicare Standardized Payment Amount |
778824.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
5315 |
Number Of Medicare Beneficiaries With Medical Services |
581 |
Total Medical Submitted Charge Amount |
782183 |
Total Medical Medicare Allowed Amount |
319217.44 |
Total Medical Medicare Payment Amount |
241403.82 |
Total Medical Medicare Standardized Payment Amount |
242454.23 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
228 |
Number Of Beneficiaries Age 75 to 84 |
190 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
272 |
Number Of Male Beneficiaries |
309 |
Number Of Non Hispanic White Beneficiaries |
540 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
491 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
90 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
2.0752 |