National Provider Identifier [NPI]: |
1871559799 |
Last Name Of The Provider |
GERSON |
First Name Of The Provider |
MYRON |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
222 PIEDMONT AVE |
Street Address 2 Of The Provider |
STE 6000 |
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452194231 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
2838 |
Number Of Medicare Beneficiaries |
1428 |
Total Submitted Charge Amount |
211690 |
Total Medicare Allowed Amount |
80959.06 |
Total Medicare Payment Amount |
60098.12 |
Total Medicare Standardized Payment Amount |
61580.25 |
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 |
18 |
Number Of Medical Services |
2838 |
Number Of Medicare Beneficiaries With Medical Services |
1428 |
Total Medical Submitted Charge Amount |
211690 |
Total Medical Medicare Allowed Amount |
80959.06 |
Total Medical Medicare Payment Amount |
60098.12 |
Total Medical Medicare Standardized Payment Amount |
61580.25 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
612 |
Number Of Beneficiaries Age 65 to 74 |
435 |
Number Of Beneficiaries Age 75 to 84 |
261 |
Number Of Beneficiaries Age Greater 84 |
120 |
Number Of Female Beneficiaries |
699 |
Number Of Male Beneficiaries |
729 |
Number Of Non Hispanic White Beneficiaries |
864 |
Number Of Black or African American Beneficiaries |
525 |
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 |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
732 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
696 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
58 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.877 |