National Provider Identifier [NPI]: |
1457353708 |
Last Name Of The Provider |
DAUN |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2055 READING RD |
Street Address 2 Of The Provider |
STE 330 |
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452021439 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
6755 |
Number Of Medicare Beneficiaries |
975 |
Total Submitted Charge Amount |
1661189 |
Total Medicare Allowed Amount |
865863.27 |
Total Medicare Payment Amount |
660716.86 |
Total Medicare Standardized Payment Amount |
673092.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1425 |
Number Of Medicare Beneficiaries With Drug Services |
69 |
Total Drug Submitted ChargeAmount |
564084 |
Total Drug Medicare AllowedAmount |
297864.14 |
Total Drug Medicare PaymentAmount |
233036.49 |
Total Drug Medicare Standardized Payment Amount |
233036.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
5330 |
Number Of Medicare Beneficiaries With Medical Services |
975 |
Total Medical Submitted Charge Amount |
1097105 |
Total Medical Medicare Allowed Amount |
567999.13 |
Total Medical Medicare Payment Amount |
427680.37 |
Total Medical Medicare Standardized Payment Amount |
440056.27 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
294 |
Number Of Beneficiaries Age 75 to 84 |
341 |
Number Of Beneficiaries Age Greater 84 |
296 |
Number Of Female Beneficiaries |
592 |
Number Of Male Beneficiaries |
383 |
Number Of Non Hispanic White Beneficiaries |
898 |
Number Of Black or African American Beneficiaries |
61 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
867 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
108 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4704 |