National Provider Identifier [NPI]: |
1831155399 |
Last Name Of The Provider |
WONES |
First Name Of The Provider |
ROBERT |
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 |
222 PIEDMONT AVE |
Street Address 2 Of The Provider |
STE. 6000 |
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452192488 |
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 |
22 |
Number Of Services |
441 |
Number Of Medicare Beneficiaries |
155 |
Total Submitted Charge Amount |
76095 |
Total Medicare Allowed Amount |
31090.14 |
Total Medicare Payment Amount |
23114.78 |
Total Medicare Standardized Payment Amount |
24228.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
41 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
3146 |
Total Drug Medicare AllowedAmount |
1879.69 |
Total Drug Medicare PaymentAmount |
1841.63 |
Total Drug Medicare Standardized Payment Amount |
1841.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
400 |
Number Of Medicare Beneficiaries With Medical Services |
155 |
Total Medical Submitted Charge Amount |
72949 |
Total Medical Medicare Allowed Amount |
29210.45 |
Total Medical Medicare Payment Amount |
21273.15 |
Total Medical Medicare Standardized Payment Amount |
22386.91 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
72 |
Number Of Beneficiaries Age 75 to 84 |
38 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
73 |
Number Of Male Beneficiaries |
82 |
Number Of Non Hispanic White Beneficiaries |
131 |
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 |
134 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9486 |