National Provider Identifier [NPI]: |
1831178938 |
Last Name Of The Provider |
SILBER |
First Name Of The Provider |
JEFFREY |
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 |
3525 OLENTANGY RIVER RD |
Street Address 2 Of The Provider |
STE 5360 |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
432143937 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
228 |
Number Of Services |
3172 |
Number Of Medicare Beneficiaries |
2351 |
Total Submitted Charge Amount |
710558.08 |
Total Medicare Allowed Amount |
166202 |
Total Medicare Payment Amount |
127972.79 |
Total Medicare Standardized Payment Amount |
131122.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
39 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
2950 |
Total Drug Medicare AllowedAmount |
144.61 |
Total Drug Medicare PaymentAmount |
109.22 |
Total Drug Medicare Standardized Payment Amount |
109.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
224 |
Number Of Medical Services |
3133 |
Number Of Medicare Beneficiaries With Medical Services |
2351 |
Total Medical Submitted Charge Amount |
707608.08 |
Total Medical Medicare Allowed Amount |
166057.39 |
Total Medical Medicare Payment Amount |
127863.57 |
Total Medical Medicare Standardized Payment Amount |
131013.22 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
522 |
Number Of Beneficiaries Age 65 to 74 |
781 |
Number Of Beneficiaries Age 75 to 84 |
659 |
Number Of Beneficiaries Age Greater 84 |
389 |
Number Of Female Beneficiaries |
1318 |
Number Of Male Beneficiaries |
1033 |
Number Of Non Hispanic White Beneficiaries |
2192 |
Number Of Black or African American Beneficiaries |
102 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1618 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
733 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9298 |