National Provider Identifier [NPI]: |
1548219678 |
Last Name Of The Provider |
ERGUN |
First Name Of The Provider |
HULUSI |
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 |
11100 EUCLID AVENUE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLEVELAND |
Zip Code Of The Provider |
44106 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
150 |
Number Of Services |
6570 |
Number Of Medicare Beneficiaries |
3267 |
Total Submitted Charge Amount |
325310.8 |
Total Medicare Allowed Amount |
165769.83 |
Total Medicare Payment Amount |
132002.81 |
Total Medicare Standardized Payment Amount |
138816.14 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1535 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
1158.8 |
Total Drug Medicare AllowedAmount |
370.61 |
Total Drug Medicare PaymentAmount |
290.54 |
Total Drug Medicare Standardized Payment Amount |
290.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
148 |
Number Of Medical Services |
5035 |
Number Of Medicare Beneficiaries With Medical Services |
3267 |
Total Medical Submitted Charge Amount |
324152 |
Total Medical Medicare Allowed Amount |
165399.22 |
Total Medical Medicare Payment Amount |
131712.27 |
Total Medical Medicare Standardized Payment Amount |
138525.6 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
853 |
Number Of Beneficiaries Age 65 to 74 |
1199 |
Number Of Beneficiaries Age 75 to 84 |
776 |
Number Of Beneficiaries Age Greater 84 |
439 |
Number Of Female Beneficiaries |
2141 |
Number Of Male Beneficiaries |
1126 |
Number Of Non Hispanic White Beneficiaries |
2587 |
Number Of Black or African American Beneficiaries |
484 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
140 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
2189 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1078 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6518 |