National Provider Identifier [NPI]: |
1285639690 |
Last Name Of The Provider |
POMERANZ |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5400 KENNEDY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452132664 |
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 |
173 |
Number Of Services |
8638 |
Number Of Medicare Beneficiaries |
5383 |
Total Submitted Charge Amount |
800663 |
Total Medicare Allowed Amount |
298035.18 |
Total Medicare Payment Amount |
225707.65 |
Total Medicare Standardized Payment Amount |
232011.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1479 |
Number Of Medicare Beneficiaries With Drug Services |
25 |
Total Drug Submitted ChargeAmount |
1879 |
Total Drug Medicare AllowedAmount |
414.58 |
Total Drug Medicare PaymentAmount |
311.05 |
Total Drug Medicare Standardized Payment Amount |
311.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
171 |
Number Of Medical Services |
7159 |
Number Of Medicare Beneficiaries With Medical Services |
5383 |
Total Medical Submitted Charge Amount |
798784 |
Total Medical Medicare Allowed Amount |
297620.6 |
Total Medical Medicare Payment Amount |
225396.6 |
Total Medical Medicare Standardized Payment Amount |
231700.68 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
979 |
Number Of Beneficiaries Age 65 to 74 |
2408 |
Number Of Beneficiaries Age 75 to 84 |
1419 |
Number Of Beneficiaries Age Greater 84 |
577 |
Number Of Female Beneficiaries |
3318 |
Number Of Male Beneficiaries |
2065 |
Number Of Non Hispanic White Beneficiaries |
4795 |
Number Of Black or African American Beneficiaries |
338 |
Number Of AsianPacific Islander Beneficiaries |
36 |
Number Of Hispanic Beneficiaries |
126 |
Number Of American Indian Alaska Native Beneficiaries |
35 |
Number Of Beneficiaries With Race Not Else where Classified |
53 |
Number Of Beneficiaries With Medicare Only Entitlement |
4205 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1178 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.09 |