National Provider Identifier [NPI]: |
1942305206 |
Last Name Of The Provider |
DRUBLIONIS |
First Name Of The Provider |
RAIMANTAS |
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 |
254 S BROADWAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
GENEVA |
Zip Code Of The Provider |
440411807 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
4586 |
Number Of Medicare Beneficiaries |
494 |
Total Submitted Charge Amount |
457560 |
Total Medicare Allowed Amount |
314834.6 |
Total Medicare Payment Amount |
234125.76 |
Total Medicare Standardized Payment Amount |
230302.96 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
158 |
Number Of Medicare Beneficiaries With Drug Services |
126 |
Total Drug Submitted ChargeAmount |
5447 |
Total Drug Medicare AllowedAmount |
2868.69 |
Total Drug Medicare PaymentAmount |
2788.38 |
Total Drug Medicare Standardized Payment Amount |
2788.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
4428 |
Number Of Medicare Beneficiaries With Medical Services |
494 |
Total Medical Submitted Charge Amount |
452113 |
Total Medical Medicare Allowed Amount |
311965.91 |
Total Medical Medicare Payment Amount |
231337.38 |
Total Medical Medicare Standardized Payment Amount |
227514.58 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
138 |
Number Of Beneficiaries Age 65 to 74 |
126 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
270 |
Number Of Male Beneficiaries |
224 |
Number Of Non Hispanic White Beneficiaries |
472 |
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 |
272 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
222 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
51 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8676 |