National Provider Identifier [NPI]: |
1336218510 |
Last Name Of The Provider |
RHEE |
First Name Of The Provider |
CHOO |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1492 E BROAD STREET |
Street Address 2 Of The Provider |
SUITE 1604 |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
43205 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
17 |
Number Of Services |
2492 |
Number Of Medicare Beneficiaries |
467 |
Total Submitted Charge Amount |
273779 |
Total Medicare Allowed Amount |
177903.31 |
Total Medicare Payment Amount |
126374.77 |
Total Medicare Standardized Payment Amount |
133900.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
165 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
7878 |
Total Drug Medicare AllowedAmount |
2553.54 |
Total Drug Medicare PaymentAmount |
2449.57 |
Total Drug Medicare Standardized Payment Amount |
2449.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
2327 |
Number Of Medicare Beneficiaries With Medical Services |
467 |
Total Medical Submitted Charge Amount |
265901 |
Total Medical Medicare Allowed Amount |
175349.77 |
Total Medical Medicare Payment Amount |
123925.2 |
Total Medical Medicare Standardized Payment Amount |
131451.3 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
75 |
Number Of Beneficiaries Age 65 to 74 |
159 |
Number Of Beneficiaries Age 75 to 84 |
132 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
273 |
Number Of Male Beneficiaries |
194 |
Number Of Non Hispanic White Beneficiaries |
174 |
Number Of Black or African American Beneficiaries |
244 |
Number Of AsianPacific Islander Beneficiaries |
32 |
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 |
241 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
226 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
1.9825 |