National Provider Identifier [NPI]: |
1093905408 |
Last Name Of The Provider |
IONESCU |
First Name Of The Provider |
RUXANDRA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
701 E COUNTY LINE RD |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
GREENWOOD |
Zip Code Of The Provider |
461431070 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
2821 |
Number Of Medicare Beneficiaries |
697 |
Total Submitted Charge Amount |
461472 |
Total Medicare Allowed Amount |
248302.61 |
Total Medicare Payment Amount |
192118.42 |
Total Medicare Standardized Payment Amount |
201769.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
22 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
832 |
Total Drug Medicare AllowedAmount |
681.45 |
Total Drug Medicare PaymentAmount |
650.83 |
Total Drug Medicare Standardized Payment Amount |
650.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
2799 |
Number Of Medicare Beneficiaries With Medical Services |
697 |
Total Medical Submitted Charge Amount |
460640 |
Total Medical Medicare Allowed Amount |
247621.16 |
Total Medical Medicare Payment Amount |
191467.59 |
Total Medical Medicare Standardized Payment Amount |
201118.28 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
145 |
Number Of Beneficiaries Age 65 to 74 |
257 |
Number Of Beneficiaries Age 75 to 84 |
211 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
388 |
Number Of Male Beneficiaries |
309 |
Number Of Non Hispanic White Beneficiaries |
675 |
Number Of Black or African American Beneficiaries |
11 |
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 |
509 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
188 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
23 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
61 |
Percent Of With Chronic Kidney Disease |
63 |
Percent Of With Chronic Obstructive Pulmonary Disease |
66 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.5301 |