National Provider Identifier [NPI]: |
1780876649 |
Last Name Of The Provider |
O'REAR |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2100 ERWIN RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DURHAM |
Zip Code Of The Provider |
277053941 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
196 |
Number Of Services |
24233 |
Number Of Medicare Beneficiaries |
3589 |
Total Submitted Charge Amount |
1673499.5 |
Total Medicare Allowed Amount |
390980.75 |
Total Medicare Payment Amount |
310434.5 |
Total Medicare Standardized Payment Amount |
347877.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
18047 |
Number Of Medicare Beneficiaries With Drug Services |
269 |
Total Drug Submitted ChargeAmount |
24844 |
Total Drug Medicare AllowedAmount |
7168.98 |
Total Drug Medicare PaymentAmount |
5588.92 |
Total Drug Medicare Standardized Payment Amount |
5588.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
191 |
Number Of Medical Services |
6186 |
Number Of Medicare Beneficiaries With Medical Services |
3588 |
Total Medical Submitted Charge Amount |
1648655.5 |
Total Medical Medicare Allowed Amount |
383811.77 |
Total Medical Medicare Payment Amount |
304845.58 |
Total Medical Medicare Standardized Payment Amount |
342288.78 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
964 |
Number Of Beneficiaries Age 65 to 74 |
1336 |
Number Of Beneficiaries Age 75 to 84 |
929 |
Number Of Beneficiaries Age Greater 84 |
360 |
Number Of Female Beneficiaries |
2413 |
Number Of Male Beneficiaries |
1176 |
Number Of Non Hispanic White Beneficiaries |
3141 |
Number Of Black or African American Beneficiaries |
408 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
2285 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1304 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3068 |