National Provider Identifier [NPI]: |
1588640031 |
Last Name Of The Provider |
PARRETT |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
211 N WILSON DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST UNION |
Zip Code Of The Provider |
456931562 |
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 |
55 |
Number Of Services |
6139 |
Number Of Medicare Beneficiaries |
492 |
Total Submitted Charge Amount |
428915 |
Total Medicare Allowed Amount |
337701.56 |
Total Medicare Payment Amount |
235436.33 |
Total Medicare Standardized Payment Amount |
242684.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1035 |
Number Of Medicare Beneficiaries With Drug Services |
236 |
Total Drug Submitted ChargeAmount |
17355 |
Total Drug Medicare AllowedAmount |
5828.77 |
Total Drug Medicare PaymentAmount |
5002.4 |
Total Drug Medicare Standardized Payment Amount |
5002.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
5104 |
Number Of Medicare Beneficiaries With Medical Services |
492 |
Total Medical Submitted Charge Amount |
411560 |
Total Medical Medicare Allowed Amount |
331872.79 |
Total Medical Medicare Payment Amount |
230433.93 |
Total Medical Medicare Standardized Payment Amount |
237681.61 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
134 |
Number Of Beneficiaries Age 65 to 74 |
190 |
Number Of Beneficiaries Age 75 to 84 |
114 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
266 |
Number Of Male Beneficiaries |
226 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
301 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
191 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1752 |