Medicare Facts for Dr. John W. Merling, MD


National Provider Identifier [NPI]: 1457313843
Last Name Of The Provider MERLING
First Name Of The Provider JOHN
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 1184 W LOCUST ST
Street Address 2 Of The Provider
City Of The Provider WILMINGTON
Zip Code Of The Provider 451772009
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 27
Number Of Services 328
Number Of Medicare Beneficiaries 108
Total Submitted Charge Amount 24170
Total Medicare Allowed Amount 22806.88
Total Medicare Payment Amount 13642.2
Total Medicare Standardized Payment Amount 15337.06
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 59
Number Of Medicare Beneficiaries With Drug Services 41
Total Drug Submitted ChargeAmount 2225
Total Drug Medicare AllowedAmount 1820.82
Total Drug Medicare PaymentAmount 1737.49
Total Drug Medicare Standardized Payment Amount 1737.49
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 21
Number Of Medical Services 269
Number Of Medicare Beneficiaries With Medical Services 108
Total Medical Submitted Charge Amount 21945
Total Medical Medicare Allowed Amount 20986.06
Total Medical Medicare Payment Amount 11904.71
Total Medical Medicare Standardized Payment Amount 13599.57
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 40
Number Of Beneficiaries Age 75 to 84 31
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 57
Number Of Male Beneficiaries 51
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
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 88
Number Of Beneficiaries With Medicare Medicaid Entitlement 20
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 19
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 22
Percent Of With Diabetes 30
Percent Of With Hyperlipidemia 38
Percent Of With Hypertension 57
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 29
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9295

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