National Provider Identifier [NPI]: |
1669691267 |
Last Name Of The Provider |
MALUDY |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4417 N HOLLAND SYLVANIA RD |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
TOLEDO |
Zip Code Of The Provider |
436233518 |
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 |
78 |
Number Of Services |
6459 |
Number Of Medicare Beneficiaries |
1382 |
Total Submitted Charge Amount |
1046615 |
Total Medicare Allowed Amount |
400219.14 |
Total Medicare Payment Amount |
306763.6 |
Total Medicare Standardized Payment Amount |
319708.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
708 |
Number Of Medicare Beneficiaries With Drug Services |
99 |
Total Drug Submitted ChargeAmount |
64896 |
Total Drug Medicare AllowedAmount |
724.63 |
Total Drug Medicare PaymentAmount |
559.5 |
Total Drug Medicare Standardized Payment Amount |
559.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
5751 |
Number Of Medicare Beneficiaries With Medical Services |
1382 |
Total Medical Submitted Charge Amount |
981719 |
Total Medical Medicare Allowed Amount |
399494.51 |
Total Medical Medicare Payment Amount |
306204.1 |
Total Medical Medicare Standardized Payment Amount |
319148.74 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
428 |
Number Of Beneficiaries Age 65 to 74 |
443 |
Number Of Beneficiaries Age 75 to 84 |
342 |
Number Of Beneficiaries Age Greater 84 |
169 |
Number Of Female Beneficiaries |
673 |
Number Of Male Beneficiaries |
709 |
Number Of Non Hispanic White Beneficiaries |
1001 |
Number Of Black or African American Beneficiaries |
306 |
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 |
826 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
556 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
57 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.1516 |