National Provider Identifier [NPI]: |
1619978608 |
Last Name Of The Provider |
ABBATI |
First Name Of The Provider |
FRANK |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2600 NAVARRE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
OREGON |
Zip Code Of The Provider |
436163207 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
2305 |
Number Of Medicare Beneficiaries |
1072 |
Total Submitted Charge Amount |
154716.68 |
Total Medicare Allowed Amount |
122237.58 |
Total Medicare Payment Amount |
88488.38 |
Total Medicare Standardized Payment Amount |
92685 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
40 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
238 |
Total Drug Medicare AllowedAmount |
182.28 |
Total Drug Medicare PaymentAmount |
163.88 |
Total Drug Medicare Standardized Payment Amount |
163.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
2265 |
Number Of Medicare Beneficiaries With Medical Services |
1072 |
Total Medical Submitted Charge Amount |
154478.68 |
Total Medical Medicare Allowed Amount |
122055.3 |
Total Medical Medicare Payment Amount |
88324.5 |
Total Medical Medicare Standardized Payment Amount |
92521.12 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
332 |
Number Of Beneficiaries Age 65 to 74 |
325 |
Number Of Beneficiaries Age 75 to 84 |
232 |
Number Of Beneficiaries Age Greater 84 |
183 |
Number Of Female Beneficiaries |
618 |
Number Of Male Beneficiaries |
454 |
Number Of Non Hispanic White Beneficiaries |
786 |
Number Of Black or African American Beneficiaries |
212 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
612 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
460 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
46 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.0326 |