National Provider Identifier [NPI]: |
1487758124 |
Last Name Of The Provider |
PARKER-DEULEY |
First Name Of The Provider |
PAULA |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
34055 SOLON RD # 104 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOLON |
Zip Code Of The Provider |
441392662 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
1475 |
Number Of Medicare Beneficiaries |
371 |
Total Submitted Charge Amount |
141402 |
Total Medicare Allowed Amount |
96479.79 |
Total Medicare Payment Amount |
72924.07 |
Total Medicare Standardized Payment Amount |
75640.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
144 |
Number Of Medicare Beneficiaries With Drug Services |
119 |
Total Drug Submitted ChargeAmount |
11464 |
Total Drug Medicare AllowedAmount |
7927.73 |
Total Drug Medicare PaymentAmount |
7763.54 |
Total Drug Medicare Standardized Payment Amount |
7763.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1331 |
Number Of Medicare Beneficiaries With Medical Services |
371 |
Total Medical Submitted Charge Amount |
129938 |
Total Medical Medicare Allowed Amount |
88552.06 |
Total Medical Medicare Payment Amount |
65160.53 |
Total Medical Medicare Standardized Payment Amount |
67876.55 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
172 |
Number Of Beneficiaries Age 75 to 84 |
128 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
308 |
Number Of Male Beneficiaries |
63 |
Number Of Non Hispanic White Beneficiaries |
335 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
360 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8295 |