National Provider Identifier [NPI]: |
1881698363 |
Last Name Of The Provider |
WARWAR |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3100 GOVERNORS PLACE BLVD |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
KETTERING |
Zip Code Of The Provider |
454091335 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
4328 |
Number Of Medicare Beneficiaries |
1406 |
Total Submitted Charge Amount |
895350 |
Total Medicare Allowed Amount |
405068.62 |
Total Medicare Payment Amount |
291444.73 |
Total Medicare Standardized Payment Amount |
293992.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1089 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
7675 |
Total Drug Medicare AllowedAmount |
5985 |
Total Drug Medicare PaymentAmount |
4692.23 |
Total Drug Medicare Standardized Payment Amount |
4692.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
3239 |
Number Of Medicare Beneficiaries With Medical Services |
1406 |
Total Medical Submitted Charge Amount |
887675 |
Total Medical Medicare Allowed Amount |
399083.62 |
Total Medical Medicare Payment Amount |
286752.5 |
Total Medical Medicare Standardized Payment Amount |
289300.08 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
88 |
Number Of Beneficiaries Age 65 to 74 |
600 |
Number Of Beneficiaries Age 75 to 84 |
502 |
Number Of Beneficiaries Age Greater 84 |
216 |
Number Of Female Beneficiaries |
822 |
Number Of Male Beneficiaries |
584 |
Number Of Non Hispanic White Beneficiaries |
1236 |
Number Of Black or African American Beneficiaries |
119 |
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 |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
1308 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
98 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0912 |