National Provider Identifier [NPI]: |
1427050962 |
Last Name Of The Provider |
UNGER |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
525 E MARKET ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
AKRON |
Zip Code Of The Provider |
443041619 |
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 |
194 |
Number Of Services |
3339 |
Number Of Medicare Beneficiaries |
2084 |
Total Submitted Charge Amount |
365361.91 |
Total Medicare Allowed Amount |
127422.75 |
Total Medicare Payment Amount |
97452.02 |
Total Medicare Standardized Payment Amount |
100334.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
194 |
Number Of Medical Services |
3339 |
Number Of Medicare Beneficiaries With Medical Services |
2084 |
Total Medical Submitted Charge Amount |
365361.91 |
Total Medical Medicare Allowed Amount |
127422.75 |
Total Medical Medicare Payment Amount |
97452.02 |
Total Medical Medicare Standardized Payment Amount |
100334.61 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
564 |
Number Of Beneficiaries Age 65 to 74 |
687 |
Number Of Beneficiaries Age 75 to 84 |
487 |
Number Of Beneficiaries Age Greater 84 |
346 |
Number Of Female Beneficiaries |
1344 |
Number Of Male Beneficiaries |
740 |
Number Of Non Hispanic White Beneficiaries |
1751 |
Number Of Black or African American Beneficiaries |
276 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1332 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
752 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8676 |