National Provider Identifier [NPI]: |
1174579072 |
Last Name Of The Provider |
LENOBEL |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9825 KENWOOD RD |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
BLUE ASH |
Zip Code Of The Provider |
452426251 |
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 |
155 |
Number Of Services |
3879 |
Number Of Medicare Beneficiaries |
2462 |
Total Submitted Charge Amount |
367194 |
Total Medicare Allowed Amount |
122766.46 |
Total Medicare Payment Amount |
97963.49 |
Total Medicare Standardized Payment Amount |
100217.08 |
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 |
155 |
Number Of Medical Services |
3879 |
Number Of Medicare Beneficiaries With Medical Services |
2462 |
Total Medical Submitted Charge Amount |
367194 |
Total Medical Medicare Allowed Amount |
122766.46 |
Total Medical Medicare Payment Amount |
97963.49 |
Total Medical Medicare Standardized Payment Amount |
100217.08 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
431 |
Number Of Beneficiaries Age 65 to 74 |
1005 |
Number Of Beneficiaries Age 75 to 84 |
660 |
Number Of Beneficiaries Age Greater 84 |
366 |
Number Of Female Beneficiaries |
1724 |
Number Of Male Beneficiaries |
738 |
Number Of Non Hispanic White Beneficiaries |
1982 |
Number Of Black or African American Beneficiaries |
412 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
1957 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
505 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.7041 |