National Provider Identifier [NPI]: |
1619178308 |
Last Name Of The Provider |
MARGOLIN |
First Name Of The Provider |
LEON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5245 E MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
432132503 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
9647 |
Number Of Medicare Beneficiaries |
372 |
Total Submitted Charge Amount |
1512330.5 |
Total Medicare Allowed Amount |
583817.03 |
Total Medicare Payment Amount |
454296.19 |
Total Medicare Standardized Payment Amount |
478863.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1457 |
Number Of Medicare Beneficiaries With Drug Services |
225 |
Total Drug Submitted ChargeAmount |
21855 |
Total Drug Medicare AllowedAmount |
2594.72 |
Total Drug Medicare PaymentAmount |
1975.94 |
Total Drug Medicare Standardized Payment Amount |
1975.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
8190 |
Number Of Medicare Beneficiaries With Medical Services |
372 |
Total Medical Submitted Charge Amount |
1490475.5 |
Total Medical Medicare Allowed Amount |
581222.31 |
Total Medical Medicare Payment Amount |
452320.25 |
Total Medical Medicare Standardized Payment Amount |
476887.86 |
Average Age Of Beneficiaries |
56 |
Number Of Beneficiaries Age Less65 |
281 |
Number Of Beneficiaries Age 65 to 74 |
69 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
215 |
Number Of Male Beneficiaries |
157 |
Number Of Non Hispanic White Beneficiaries |
222 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
68 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
304 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
58 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
72 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5695 |