National Provider Identifier [NPI]: |
1104816859 |
Last Name Of The Provider |
ARRICK |
First Name Of The Provider |
RONALD |
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 |
1729 KINNEYS LANE SUITE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PORTSMOUTH |
Zip Code Of The Provider |
45662 |
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 |
68 |
Number Of Services |
8648 |
Number Of Medicare Beneficiaries |
2241 |
Total Submitted Charge Amount |
704854.8 |
Total Medicare Allowed Amount |
425602.37 |
Total Medicare Payment Amount |
327728.72 |
Total Medicare Standardized Payment Amount |
339227.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
591 |
Number Of Medicare Beneficiaries With Drug Services |
295 |
Total Drug Submitted ChargeAmount |
14960.8 |
Total Drug Medicare AllowedAmount |
10664.34 |
Total Drug Medicare PaymentAmount |
9654.17 |
Total Drug Medicare Standardized Payment Amount |
9654.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
58 |
Number Of Medical Services |
8057 |
Number Of Medicare Beneficiaries With Medical Services |
2241 |
Total Medical Submitted Charge Amount |
689894 |
Total Medical Medicare Allowed Amount |
414938.03 |
Total Medical Medicare Payment Amount |
318074.55 |
Total Medical Medicare Standardized Payment Amount |
329572.89 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
447 |
Number Of Beneficiaries Age 65 to 74 |
771 |
Number Of Beneficiaries Age 75 to 84 |
641 |
Number Of Beneficiaries Age Greater 84 |
382 |
Number Of Female Beneficiaries |
1305 |
Number Of Male Beneficiaries |
936 |
Number Of Non Hispanic White Beneficiaries |
2192 |
Number Of Black or African American Beneficiaries |
26 |
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 |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1388 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
853 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7077 |