National Provider Identifier [NPI]: |
1013170125 |
Last Name Of The Provider |
RINGGER |
First Name Of The Provider |
BENJAMIN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2288 N MERRITT CREEK LOOP |
Street Address 2 Of The Provider |
|
City Of The Provider |
COEUR D ALENE |
Zip Code Of The Provider |
838144959 |
State Code Of The Provider |
ID |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
7180 |
Number Of Medicare Beneficiaries |
1308 |
Total Submitted Charge Amount |
1264976 |
Total Medicare Allowed Amount |
575125.34 |
Total Medicare Payment Amount |
425950.7 |
Total Medicare Standardized Payment Amount |
446361.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
79 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
12090 |
Total Drug Medicare AllowedAmount |
11908.1 |
Total Drug Medicare PaymentAmount |
9219.11 |
Total Drug Medicare Standardized Payment Amount |
9219.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
7101 |
Number Of Medicare Beneficiaries With Medical Services |
1308 |
Total Medical Submitted Charge Amount |
1252886 |
Total Medical Medicare Allowed Amount |
563217.24 |
Total Medical Medicare Payment Amount |
416731.59 |
Total Medical Medicare Standardized Payment Amount |
437141.98 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
86 |
Number Of Beneficiaries Age 65 to 74 |
608 |
Number Of Beneficiaries Age 75 to 84 |
446 |
Number Of Beneficiaries Age Greater 84 |
168 |
Number Of Female Beneficiaries |
601 |
Number Of Male Beneficiaries |
707 |
Number Of Non Hispanic White Beneficiaries |
1268 |
Number Of Black or African American Beneficiaries |
|
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 |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1197 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
111 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.9687 |