National Provider Identifier [NPI]: |
1063623346 |
Last Name Of The Provider |
AALBERG |
First Name Of The Provider |
JOSHUA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 ACKERMAN RD |
Street Address 2 Of The Provider |
STE 220 |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
432021559 |
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 |
87 |
Number Of Services |
2327 |
Number Of Medicare Beneficiaries |
1424 |
Total Submitted Charge Amount |
224275 |
Total Medicare Allowed Amount |
61757.92 |
Total Medicare Payment Amount |
46315.16 |
Total Medicare Standardized Payment Amount |
48106.21 |
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 |
87 |
Number Of Medical Services |
2327 |
Number Of Medicare Beneficiaries With Medical Services |
1424 |
Total Medical Submitted Charge Amount |
224275 |
Total Medical Medicare Allowed Amount |
61757.92 |
Total Medical Medicare Payment Amount |
46315.16 |
Total Medical Medicare Standardized Payment Amount |
48106.21 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
691 |
Number Of Beneficiaries Age 65 to 74 |
394 |
Number Of Beneficiaries Age 75 to 84 |
219 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
754 |
Number Of Male Beneficiaries |
670 |
Number Of Non Hispanic White Beneficiaries |
908 |
Number Of Black or African American Beneficiaries |
468 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
664 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
760 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.6536 |