National Provider Identifier [NPI]: |
1215031711 |
Last Name Of The Provider |
FERBER |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
54 EXECUTIVE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORWALK |
Zip Code Of The Provider |
448579566 |
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 |
177 |
Number Of Services |
7260 |
Number Of Medicare Beneficiaries |
2907 |
Total Submitted Charge Amount |
711838 |
Total Medicare Allowed Amount |
209999.37 |
Total Medicare Payment Amount |
156781.47 |
Total Medicare Standardized Payment Amount |
161285.68 |
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 |
177 |
Number Of Medical Services |
7260 |
Number Of Medicare Beneficiaries With Medical Services |
2907 |
Total Medical Submitted Charge Amount |
711838 |
Total Medical Medicare Allowed Amount |
209999.37 |
Total Medical Medicare Payment Amount |
156781.47 |
Total Medical Medicare Standardized Payment Amount |
161285.68 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
592 |
Number Of Beneficiaries Age 65 to 74 |
1183 |
Number Of Beneficiaries Age 75 to 84 |
773 |
Number Of Beneficiaries Age Greater 84 |
359 |
Number Of Female Beneficiaries |
1781 |
Number Of Male Beneficiaries |
1126 |
Number Of Non Hispanic White Beneficiaries |
2764 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2219 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
688 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.3963 |