| National Provider Identifier [NPI]: | 1497708275 |
| Last Name Of The Provider | ALTHAUS |
| First Name Of The Provider | DAVID |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2619 STATE ROUTE 850 |
| Street Address 2 Of The Provider | |
| City Of The Provider | BIDWELL |
| Zip Code Of The Provider | 456149288 |
| State Code Of The Provider | OH |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pathology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 320 |
| Number Of Services | 38805 |
| Number Of Medicare Beneficiaries | 5245 |
| Total Submitted Charge Amount | 3278189 |
| Total Medicare Allowed Amount | 472885.76 |
| Total Medicare Payment Amount | 441964.23 |
| Total Medicare Standardized Payment Amount | 442244.59 |
| 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 | 320 |
| Number Of Medical Services | 38805 |
| Number Of Medicare Beneficiaries With Medical Services | 5245 |
| Total Medical Submitted Charge Amount | 3278189 |
| Total Medical Medicare Allowed Amount | 472885.76 |
| Total Medical Medicare Payment Amount | 441964.23 |
| Total Medical Medicare Standardized Payment Amount | 442244.59 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1160 |
| Number Of Beneficiaries Age 65 to 74 | 1947 |
| Number Of Beneficiaries Age 75 to 84 | 1557 |
| Number Of Beneficiaries Age Greater 84 | 581 |
| Number Of Female Beneficiaries | 3069 |
| Number Of Male Beneficiaries | 2176 |
| Number Of Non Hispanic White Beneficiaries | 5102 |
| Number Of Black or African American Beneficiaries | 74 |
| 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 | 46 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3673 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1572 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 20 |
| Percent Of With Chronic Kidney Disease | 23 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 28 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 36 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.268 |