National Provider Identifier [NPI]: |
1376513853 |
Last Name Of The Provider |
HUNT |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
715 E WESTERN RESERVE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
POLAND |
Zip Code Of The Provider |
445143358 |
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 |
41 |
Number Of Services |
2742 |
Number Of Medicare Beneficiaries |
1099 |
Total Submitted Charge Amount |
331866 |
Total Medicare Allowed Amount |
204858.77 |
Total Medicare Payment Amount |
153739.3 |
Total Medicare Standardized Payment Amount |
156949.62 |
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 |
41 |
Number Of Medical Services |
2742 |
Number Of Medicare Beneficiaries With Medical Services |
1099 |
Total Medical Submitted Charge Amount |
331866 |
Total Medical Medicare Allowed Amount |
204858.77 |
Total Medical Medicare Payment Amount |
153739.3 |
Total Medical Medicare Standardized Payment Amount |
156949.62 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
174 |
Number Of Beneficiaries Age 65 to 74 |
384 |
Number Of Beneficiaries Age 75 to 84 |
335 |
Number Of Beneficiaries Age Greater 84 |
206 |
Number Of Female Beneficiaries |
538 |
Number Of Male Beneficiaries |
561 |
Number Of Non Hispanic White Beneficiaries |
966 |
Number Of Black or African American Beneficiaries |
98 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
844 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
255 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9314 |