National Provider Identifier [NPI]: |
1972502789 |
Last Name Of The Provider |
LARUFFA |
First Name Of The Provider |
CATHERINE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 S BROADWAY ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BLANCHESTER |
Zip Code Of The Provider |
451071465 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
8416 |
Number Of Medicare Beneficiaries |
428 |
Total Submitted Charge Amount |
275886.76 |
Total Medicare Allowed Amount |
214501.43 |
Total Medicare Payment Amount |
151565.85 |
Total Medicare Standardized Payment Amount |
158157.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
2069 |
Number Of Medicare Beneficiaries With Drug Services |
134 |
Total Drug Submitted ChargeAmount |
39820.76 |
Total Drug Medicare AllowedAmount |
29206.45 |
Total Drug Medicare PaymentAmount |
23028.46 |
Total Drug Medicare Standardized Payment Amount |
23028.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
6347 |
Number Of Medicare Beneficiaries With Medical Services |
428 |
Total Medical Submitted Charge Amount |
236066 |
Total Medical Medicare Allowed Amount |
185294.98 |
Total Medical Medicare Payment Amount |
128537.39 |
Total Medical Medicare Standardized Payment Amount |
135129.4 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
163 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
56 |
Number Of Female Beneficiaries |
276 |
Number Of Male Beneficiaries |
152 |
Number Of Non Hispanic White Beneficiaries |
417 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
277 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
151 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4015 |