National Provider Identifier [NPI]: |
1275540734 |
Last Name Of The Provider |
WHISLER |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
480 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
432101229 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
33526 |
Number Of Medicare Beneficiaries |
638 |
Total Submitted Charge Amount |
2991225.3 |
Total Medicare Allowed Amount |
1078662.62 |
Total Medicare Payment Amount |
805058.02 |
Total Medicare Standardized Payment Amount |
811130.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
24 |
Number Of Drug Services |
31323 |
Number Of Medicare Beneficiaries With Drug Services |
295 |
Total Drug Submitted ChargeAmount |
2265757.3 |
Total Drug Medicare AllowedAmount |
817685.01 |
Total Drug Medicare PaymentAmount |
611917.7 |
Total Drug Medicare Standardized Payment Amount |
611917.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
2203 |
Number Of Medicare Beneficiaries With Medical Services |
638 |
Total Medical Submitted Charge Amount |
725468 |
Total Medical Medicare Allowed Amount |
260977.61 |
Total Medical Medicare Payment Amount |
193140.32 |
Total Medical Medicare Standardized Payment Amount |
199212.83 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
207 |
Number Of Beneficiaries Age 65 to 74 |
254 |
Number Of Beneficiaries Age 75 to 84 |
125 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
447 |
Number Of Male Beneficiaries |
191 |
Number Of Non Hispanic White Beneficiaries |
489 |
Number Of Black or African American Beneficiaries |
124 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
438 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
200 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4109 |