National Provider Identifier [NPI]: |
1225024193 |
Last Name Of The Provider |
ASH |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
616 10TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PERRY |
Zip Code Of The Provider |
502202221 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
3978 |
Number Of Medicare Beneficiaries |
591 |
Total Submitted Charge Amount |
301981 |
Total Medicare Allowed Amount |
147171.32 |
Total Medicare Payment Amount |
103945.55 |
Total Medicare Standardized Payment Amount |
113062.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
372 |
Number Of Medicare Beneficiaries With Drug Services |
157 |
Total Drug Submitted ChargeAmount |
11426 |
Total Drug Medicare AllowedAmount |
8028.52 |
Total Drug Medicare PaymentAmount |
7116.25 |
Total Drug Medicare Standardized Payment Amount |
7116.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
3606 |
Number Of Medicare Beneficiaries With Medical Services |
588 |
Total Medical Submitted Charge Amount |
290555 |
Total Medical Medicare Allowed Amount |
139142.8 |
Total Medical Medicare Payment Amount |
96829.3 |
Total Medical Medicare Standardized Payment Amount |
105946.49 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
221 |
Number Of Beneficiaries Age 75 to 84 |
175 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
352 |
Number Of Male Beneficiaries |
239 |
Number Of Non Hispanic White Beneficiaries |
579 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
462 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
129 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0619 |