National Provider Identifier [NPI]: |
1457424525 |
Last Name Of The Provider |
MORROW |
First Name Of The Provider |
JAY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3733 PARK EAST DR |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
BEACHWOOD |
Zip Code Of The Provider |
44122 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
5695 |
Number Of Medicare Beneficiaries |
966 |
Total Submitted Charge Amount |
327473.2 |
Total Medicare Allowed Amount |
250772.79 |
Total Medicare Payment Amount |
183085.04 |
Total Medicare Standardized Payment Amount |
191286.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2040 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
64600.2 |
Total Drug Medicare AllowedAmount |
29322.3 |
Total Drug Medicare PaymentAmount |
22295.26 |
Total Drug Medicare Standardized Payment Amount |
22295.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
3655 |
Number Of Medicare Beneficiaries With Medical Services |
966 |
Total Medical Submitted Charge Amount |
262873 |
Total Medical Medicare Allowed Amount |
221450.49 |
Total Medical Medicare Payment Amount |
160789.78 |
Total Medical Medicare Standardized Payment Amount |
168991.14 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
402 |
Number Of Beneficiaries Age 75 to 84 |
309 |
Number Of Beneficiaries Age Greater 84 |
131 |
Number Of Female Beneficiaries |
594 |
Number Of Male Beneficiaries |
372 |
Number Of Non Hispanic White Beneficiaries |
753 |
Number Of Black or African American Beneficiaries |
171 |
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 |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
753 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
213 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
71 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.9222 |