National Provider Identifier [NPI]: |
1174522064 |
Last Name Of The Provider |
VRABLE |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
132 N MARKET ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
EAST PALESTINE |
Zip Code Of The Provider |
444132019 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
2921 |
Number Of Medicare Beneficiaries |
492 |
Total Submitted Charge Amount |
341720 |
Total Medicare Allowed Amount |
269109.47 |
Total Medicare Payment Amount |
204262.15 |
Total Medicare Standardized Payment Amount |
207183.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
12 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
600 |
Total Drug Medicare AllowedAmount |
400.44 |
Total Drug Medicare PaymentAmount |
392.4 |
Total Drug Medicare Standardized Payment Amount |
392.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
2909 |
Number Of Medicare Beneficiaries With Medical Services |
492 |
Total Medical Submitted Charge Amount |
341120 |
Total Medical Medicare Allowed Amount |
268709.03 |
Total Medical Medicare Payment Amount |
203869.75 |
Total Medical Medicare Standardized Payment Amount |
206790.75 |
Average Age Of Beneficiaries |
82 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
79 |
Number Of Beneficiaries Age 75 to 84 |
131 |
Number Of Beneficiaries Age Greater 84 |
250 |
Number Of Female Beneficiaries |
324 |
Number Of Male Beneficiaries |
168 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
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 |
276 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
216 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
70 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
44 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.093 |