National Provider Identifier [NPI]: |
1558369033 |
Last Name Of The Provider |
YOUNG |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3525 OLENTANGY RIVER RD |
Street Address 2 Of The Provider |
STE 5360 |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
432143937 |
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 |
148 |
Number Of Services |
3733 |
Number Of Medicare Beneficiaries |
3169 |
Total Submitted Charge Amount |
671030 |
Total Medicare Allowed Amount |
164378.34 |
Total Medicare Payment Amount |
127376.4 |
Total Medicare Standardized Payment Amount |
130530.28 |
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 |
148 |
Number Of Medical Services |
3733 |
Number Of Medicare Beneficiaries With Medical Services |
3169 |
Total Medical Submitted Charge Amount |
671030 |
Total Medical Medicare Allowed Amount |
164378.34 |
Total Medical Medicare Payment Amount |
127376.4 |
Total Medical Medicare Standardized Payment Amount |
130530.28 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
589 |
Number Of Beneficiaries Age 65 to 74 |
1139 |
Number Of Beneficiaries Age 75 to 84 |
925 |
Number Of Beneficiaries Age Greater 84 |
516 |
Number Of Female Beneficiaries |
1805 |
Number Of Male Beneficiaries |
1364 |
Number Of Non Hispanic White Beneficiaries |
2903 |
Number Of Black or African American Beneficiaries |
168 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2330 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
839 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.7781 |