National Provider Identifier [NPI]: |
1952340960 |
Last Name Of The Provider |
DOYLE |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3180 E BROAD ST |
Street Address 2 Of The Provider |
AMERICAN HEALTH NETWORK OF OHIO |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
432092055 |
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 |
34 |
Number Of Services |
2497 |
Number Of Medicare Beneficiaries |
199 |
Total Submitted Charge Amount |
171745 |
Total Medicare Allowed Amount |
118564 |
Total Medicare Payment Amount |
83351.58 |
Total Medicare Standardized Payment Amount |
86587.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
61 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
2168 |
Total Drug Medicare AllowedAmount |
1505.49 |
Total Drug Medicare PaymentAmount |
1468.61 |
Total Drug Medicare Standardized Payment Amount |
1468.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
2436 |
Number Of Medicare Beneficiaries With Medical Services |
199 |
Total Medical Submitted Charge Amount |
169577 |
Total Medical Medicare Allowed Amount |
117058.51 |
Total Medical Medicare Payment Amount |
81882.97 |
Total Medical Medicare Standardized Payment Amount |
85119.38 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
79 |
Number Of Beneficiaries Age 65 to 74 |
66 |
Number Of Beneficiaries Age 75 to 84 |
34 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
110 |
Number Of Male Beneficiaries |
89 |
Number Of Non Hispanic White Beneficiaries |
175 |
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 |
108 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
91 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
19 |
Percent Of With Osteoporosis |
36 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
21 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.117 |