National Provider Identifier [NPI]: |
1457579310 |
Last Name Of The Provider |
MARKOVIC |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2500 METROHEALTH DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLEVELAND |
Zip Code Of The Provider |
441091900 |
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 |
146 |
Number Of Services |
4044 |
Number Of Medicare Beneficiaries |
2634 |
Total Submitted Charge Amount |
508158 |
Total Medicare Allowed Amount |
187371.95 |
Total Medicare Payment Amount |
139087.93 |
Total Medicare Standardized Payment Amount |
144280.83 |
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 |
146 |
Number Of Medical Services |
4044 |
Number Of Medicare Beneficiaries With Medical Services |
2634 |
Total Medical Submitted Charge Amount |
508158 |
Total Medical Medicare Allowed Amount |
187371.95 |
Total Medical Medicare Payment Amount |
139087.93 |
Total Medical Medicare Standardized Payment Amount |
144280.83 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
593 |
Number Of Beneficiaries Age 65 to 74 |
775 |
Number Of Beneficiaries Age 75 to 84 |
759 |
Number Of Beneficiaries Age Greater 84 |
507 |
Number Of Female Beneficiaries |
1492 |
Number Of Male Beneficiaries |
1142 |
Number Of Non Hispanic White Beneficiaries |
2436 |
Number Of Black or African American Beneficiaries |
157 |
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 |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
1842 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
792 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.8021 |